Active NPI
Jeffrey Joshua Title, ED.D.
- Psychologist
- Great Barrington, MA
National Provider Identifier
1760544688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 873
- Practice address
- 491 Main St
Suite Number 5
Great Barrington, MA 01230-1822 - Phone
- (413) 528-5155
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 873 | MA | Primary |
| Psychologist | 103T00000X | 611 | NH |
Addresses
Primary practice location
491 Main St
Suite Number 5
Great Barrington, MA 01230-1822
Mailing address
491 Main St
Suite Number 5
Great Barrington, MA 01230-1822
Phone (413) 528-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 611 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760544688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 MAIN ST",
"address_2": "SUITE NUMBER 5",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301822",
"telephone_number": "413-528-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 MAIN ST",
"address_2": "SUITE NUMBER 5",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301822",
"telephone_number": "413-528-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITLE",
"first_name": "JEFFREY",
"middle_name": "JOSHUA",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "873",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.