GREEN MOUNTAIN NEUROLOGY INC NPI 1427255538

NPI Information

NPI: 1427255538
Provider Name: GREEN MOUNTAIN NEUROLOGY, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
777 NORTH ST
SUITE 205
PITTSFIELD, MA
ZIP 01201
Phone: (413) 395-7517
Get Directions

GREEN MOUNTAIN NEUROLOGY, INC is a neurology psychiatry neurology in Pittsfield, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. GREEN MOUNTAIN NEUROLOGY, INC NPI is 1427255538. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

777 NORTH ST
SUITE 205
PITTSFIELD, MA
ZIP 01201-147
Phone: (413) 395-7517
Fax: (413) 395-7518

The provider's authorized official is Alexander S Kloman .
The authorized official title is President and has the following contact phone number (413) 395-7517.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 2/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	71916	MASSACHUSETTS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	71916	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22838	OTHER	MASSACHUSETTS	BMC HEALTH NET
2	18776	OTHER	MASSACHUSETTS	HNE
3	E97163	MEDICARE UPIN	MASSACHUSETTS
4	9730541	MEDICAID	MASSACHUSETTS
5	M17766	OTHER	MASSACHUSETTS	MASS BCBS GRP #
6	990894	OTHER	MASSACHUSETTS	MVP IND #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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