Tristate Behavioral Health Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8987 Issued in MA

Legal business name

TRISTATE BEHAVIORAL HEALTH SERVICES

Practice address

78 Candlewood Dr
Williamstown, MA 01267-2972

Phone

(413) 281-1844

NPI assigned

Feb 1, 2016

Last updated

Feb 1, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerardo Torres, PSYDNPI 1659467967

Title

Owner

Phone

(413) 281-1844

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerardo Torres, MA

  • Clinical Psychologist
  • North Adams, MA
  • NPI 1659467967
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1720446123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CANDLEWOOD DR",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672972",
            "telephone_number": "413-281-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CANDLEWOOD DR",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672972",
            "telephone_number": "413-281-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-281-1844",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0061308",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8558572",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F. Sussman, M.D.
• Abigail Fairbanks Tague, LICSW
• Rachelle Renae Tetreault, LAC
• Town of Lanesborough (Lanesborough Public Schools)
• Town of Williamstown (Williamstown Public Schools)
• Marisa Turner
• Village Ambulance Service, Inc.
• Heather Elizabeth Vroman, MS, CCC-SLP
• Walgreen Co (Walgreens #18016)
• Bria Lei Ward, OT

• Clinical Psychologist in Williamstown, MA
• Providers in Williamstown, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.