Provider Demographics
NPI:1437204203
Name:ROBERT BRANDT, PC
Entity Type:Organization
Organization Name:ROBERT BRANDT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-586-6542
Mailing Address - Street 1:100 KING ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3243
Mailing Address - Country:US
Mailing Address - Phone:413-586-6542
Mailing Address - Fax:413-586-7533
Practice Address - Street 1:100 KING ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3243
Practice Address - Country:US
Practice Address - Phone:413-586-6542
Practice Address - Fax:413-586-7533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2318103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPO3289Medicare ID - Type UnspecifiedJOAN SWERDLOW-BRANDT #
MAWO2450Medicare ID - Type UnspecifiedROBERT BRANDT MEDICARE #