Nicole E Demby

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

877 South St Ste 200
Pittsfield, MA 01201-8243

Phone

(413) 236-5656

Fax

(413) 499-6572

NPI assigned

Sep 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical & Support Options, Inc

  • Community/Behavioral Health Agency
  • Greenfield, MA
  • NPI 1831265115
  NPD
• Clinical and Support Options

  • Community/Behavioral Health Agency
  • Pittsfield, MA
  • NPI 1386066579
  NPD (past)

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1881363893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 SOUTH ST STE 200",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018243",
            "telephone_number": "413-236-5656",
            "fax_number": "413-499-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 SOUTH ST STE 200",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018243",
            "telephone_number": "413-236-5656",
            "fax_number": "413-499-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBY",
        "first_name": "NICOLE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Demarco, RN
• Demartino Physical Therapy LLC
• Anthony A Demartino, PT
• Matthew Aaron Demary
• Michael R Dematteo, MD
• Brian J Dempsey, MD
• Ryan Dempsey, MSW
• Lara S Denmark, MA, LMHC
• Mark Denovellis
• Department of Mental Health

• Student in an Organized Health Care Education/Training Program in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.