Active NPI
Eric S. Strauss, PH.D.
- Clinical Psychologist
- West Springfield, MA
National Provider Identifier
1770640831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1702
- Practice address
- 1111 Elm St
Suite 6
West Springfield, MA 01089-1540 - Phone
- (413) 736-8158
- Fax
- (413) 736-8212
- NPI assigned
- Jan 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1702 | MA | Primary |
Addresses
Primary practice location
1111 Elm St
Suite 6
West Springfield, MA 01089-1540
Mailing address
1111 Elm St
Suite 6
West Springfield, MA 01089-1540
Phone (413) 736-8158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W01731 | Other | MA | BLUE SHIELD PROVIDER NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Aug 13, 2014 through Aug 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1702 | MA | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770640831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 ELM ST",
"address_2": "SUITE 6",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891540",
"telephone_number": "413-736-8158",
"fax_number": "413-736-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ELM ST",
"address_2": "SUITE 6",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891540",
"telephone_number": "413-736-8158",
"fax_number": "413-736-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAUSS",
"first_name": "ERIC",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "1702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUMB",
"identifier": "W01731",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.