Active NPI
Ann F Mick, M.D.
- Pediatrics Physician
- Northampton, MA
National Provider Identifier
1962484196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 81941
- Practice address
- 16 Center St
Ste 216
Northampton, MA 01060-3031 - Phone
- (413) 584-3202
- Fax
- (413) 586-7950
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 81941 | MA | Primary |
Addresses
Primary practice location
16 Center St
Ste 216
Northampton, MA 01060-3031
Mailing address
16 Center St
Ste 216
Northampton, MA 01060-3031
Phone (413) 584-3202
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1962484196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CENTER ST",
"address_2": "STE 216",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603031",
"telephone_number": "413-584-3202",
"fax_number": "413-586-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CENTER ST",
"address_2": "STE 216",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603031",
"telephone_number": "413-584-3202",
"fax_number": "413-586-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICK",
"first_name": "ANN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "81941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.