Michael Sholom Perlman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29935 Issued in MA

Practice address

57 Gothic Street
Northampton, MA 01060-3047

Phone

(413) 584-6186

Fax

(413) 585-0488

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1871561019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 GOTHIC STREET",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603047",
            "telephone_number": "413-584-6186",
            "fax_number": "413-585-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 GOTHIC STREET",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603047",
            "telephone_number": "413-584-6186",
            "fax_number": "413-585-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "MICHAEL",
        "middle_name": "SHOLOM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "29935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168033",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Penatzer
• Alexandra Penzias, DNP, APRN, ACNS-BC
• David Matthew Pepin
• Melanie Pepper, LAC
• Marlon Perez
• Norman S. Perr, MD
• Elizabeth Morrison Petegorsky, LICSW CEAP LADC
• Alexandra R Peterson, M.A.
• Katherine Sloane Peterson
• Kristin Peterson, LICSW

• Psychiatry Physician in Northampton, MA
• Providers in Northampton, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.