Individual provider Active NPI

Evan Samuel Henritze, PHD

  • Clinical Psychologist
  • Northampton, MA
National Provider Identifier
1982431706
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
027511 Issued in NY
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

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY10001946MAMDClinical Psychologist
027511NYMDClinical Psychologist
048.0135374VTMDClinical 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.

Verify at the official NPI Registry.