Provider Demographics
NPI:1033361845
Name:INSTITUTE OF HUMAN SOLUTIONS LLC
Entity Type:Organization
Organization Name:INSTITUTE OF HUMAN SOLUTIONS LLC
Other - Org Name:IHS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ-BUSTAMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-320-4118
Mailing Address - Street 1:370 N KING ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1121
Mailing Address - Country:US
Mailing Address - Phone:413-320-4118
Mailing Address - Fax:888-289-5206
Practice Address - Street 1:370 N KING ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-1121
Practice Address - Country:US
Practice Address - Phone:413-387-0075
Practice Address - Fax:888-289-5206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-13
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8148103TC0700X
MA8152103TC0700X
MA1113471041C0700X
MA2041202084P0804X
NMMD2004-05392084P0804X
MA236837364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW10610OtherBLUE CROSS PROVIDER NUMBER
MAW51251OtherMEDICARE UNSPECIFIED
MAMINS0458OtherMEDICARE UNSPECIFIED
MAW51251OtherMEDICARE UNSPECIFIED
MAE77125Medicare UPIN