Andres Bustamante, PHD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

8148 Issued in MA

Practice address

370 N King St
Northampton, MA 01060-1121

Phone

(413) 320-4118

Fax

(888) 289-5206

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Institute of Human Solutions LLC

  • Child & Adolescent Psychiatry Physician
  • Northampton, MA
  • NPI 1033361845
  NPD
• Brightside Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1093709370
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1982668919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601121",
            "telephone_number": "413-320-4118",
            "fax_number": "888-289-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601121",
            "telephone_number": "413-320-4118",
            "fax_number": "888-289-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "ANDRES",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "8148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Burr
• John Burrows, LICSW
• Rebecca A. Burwell, PHD
• Arden Bush
• Tonya Bushway-Flynn
• Suasana B. Byers, L.AC.
• Cabslp, Inc
• Cadence Behavioral & Therapeutic Services LLC
• Kathryn May Cadwgan, L.AC.
• Karen Marie Cahalane, M.A. CCC-SLP

• Health Service Psychologist in Northampton, MA
• Providers in Northampton, MA by specialty
• Health Service Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.