DR. DEREK JOSEPH NEAZ-NIBUR (NPI# 1366993933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366993933 |
| Entity Type | Individual |
| Full Name | DR. DEREK JOSEPH NEAZ-NIBUR |
| Credential | PSYD |
| Practice Address |
34 Depot St Ste 201 Pittsfield MA 01201-5130 |
| Practice Telephone | 4134994090 |
| Mailing Telephone | 4134994090 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 W 86th St, New York, NY 100244018 | 2123628755 |
| Street Address |
34 DEPOT ST STE 201 |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609921873 | Counseling Center In The Berkshires Inc | Psychologist | 34 Depot St Ste 201, Pittsfield, MA 01201-5130 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629234455 | Joanna Mae Boody | Psychologist | 1646 W Housatonic St, Pittsfield, MA 01201-7520 | 2008-07-31 |
| 1205994563 | Kathryn Leone Jensen | Psychologist | 150 North St, Ste 39d, Pittsfield, MA 01201-5173 | 2006-12-05 |
| 1437222379 | Cathy Sue Kogan | Psychologist | 19 Bartlett Avenue, Pittsfield, MA 01201-6301 | 2006-11-16 |
| 1831542810 | Rachel Laurin Konowitch | Psychologist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2016-07-14 |
| 1619345345 | Sarah C. Marshall, Phd PC | Psychologist | 197 South St, Doctor's Park Bldg. A, Pittsfield, MA 01201-6893 | 2015-09-11 |
| 1851533624 | Michael Brezsnyak | Psychologist | 24 Wendell Ave, Pittsfield, MA 01201-6306 | 2009-03-25 |
| 1205010683 | Diane Hubel Farella | Psychologist | 388 Columbus Avenue Ext, Pittsfield, MA 01201-4903 | 2007-12-21 |
| 1487783924 | Allison Sharlett Warnick | Psychologist | 1450 East St, Suite 10c, Pittsfield, MA 01201-5319 | 2007-03-02 |
| 1659437804 | Shana Senzel | Psychologist | 725 North St, Memory Disorder Program, Pittsfield, MA 01201-4109 | 2006-12-29 |
| 1952461477 | Aaron Sardell | Psychologist | 34 Depot St, Suite 201 Counseling Center In The Berkshires, Pittsfield, MA 01201 | 2006-12-12 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.