Active NPI
Evan Samuel Henritze, PHD
- Clinical Psychologist
- Northampton, MA
National Provider Identifier
1982431706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 027511
- Practice address
- 25 Main St Ste 339B
Northampton, MA 01060-3130 - Phone
- (212) 489-0246
- NPI assigned
- Sep 16, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10001946 | MA | |
| Clinical Psychologist | 103TC0700X | 027511 | NY | Primary |
| Clinical Psychologist | 103TC0700X | 048.0135374 | VT |
Addresses
Primary practice location
25 Main St Ste 339B
Northampton, MA 01060-3130
Mailing address
PO Box 75
Greenfield, MA 01302-0075
Phone (212) 489-0246
Other practice location 1
442 Main St
Greenfield, MA 01301-3335
Phone (212) 489-0246
Other practice location 2
158 W 124th St
New York, NY 10027-4919
Phone (332) 243-0276
Other practice location 3
25 Central Park W
New York, NY 10023-7253
Phone (212) 489-0246
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10001946 | MA | MD | Clinical Psychologist |
| 027511 | NY | MD | Clinical Psychologist |
| 048.0135374 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1982431706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013020075",
"telephone_number": "212-489-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MAIN ST STE 339B",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603130",
"telephone_number": "212-489-0246"
}
],
"practiceLocations": [
{
"address_1": "442 Main St",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "MA",
"postal_code": "013013335",
"country_code": "US",
"telephone_number": "212-489-0246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "158 W 124th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100274919",
"country_code": "US",
"telephone_number": "332-243-0276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Central Park W",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100237253",
"country_code": "US",
"telephone_number": "212-489-0246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRITZE",
"first_name": "EVAN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-16",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PSY10001946",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "027511",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048.0135374",
"primary": false
}
],
"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 Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.