NPIMap

Organization Active NPI

Berkshire Integrative Healthcare LLC

  • Physical Therapist
  • Pittsfield, MA
National Provider Identifier
1861716714
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9592 Issued in MA
Legal business name
BERKSHIRE INTEGRATIVE HEALTHCARE LLC
Practice address
42 Summer St
Suite 301
Pittsfield, MA 01201-4526
Phone
(413) 442-0085
Fax
(413) 464-9143
NPI assigned
Mar 22, 2010
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Dr. Stephen Lewis Kisiel, DONPI 1043219470
Title
President
Phone
(413) 442-0085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4907LMHC MA
Physical Therapist 225100000X 9592 MA Primary

Addresses

Primary practice location

42 Summer St
Suite 301
Pittsfield, MA 01201-4526

Mailing address

42 Summer St
Suite 301
Pittsfield, MA 01201-4526
Phone (413) 442-0085

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1861716714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SUMMER ST",
            "address_2": "SUITE 301",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014526",
            "telephone_number": "413-442-0085",
            "fax_number": "413-464-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SUMMER ST",
            "address_2": "SUITE 301",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014526",
            "telephone_number": "413-442-0085",
            "fax_number": "413-464-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE INTEGRATIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "KISIEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-442-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "4907LMHC",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.