Provider Demographics
NPI:1255406013
Name:MCCARTHY, JEFFREY RAYMOND (PSYD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:RAYMOND
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:421 NORTH MAIN STREET
Mailing Address - Street 2:NORTHAMPTON VA MEDICAL CENTER
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9764
Mailing Address - Country:US
Mailing Address - Phone:413-584-4040
Mailing Address - Fax:413-582-3121
Practice Address - Street 1:25 BOND STREET
Practice Address - Street 2:SPRINGFIELD VA OUTPATIENT CLINIC
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3401
Practice Address - Country:US
Practice Address - Phone:413-731-6050
Practice Address - Fax:413-788-4617
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA8578103T00000X, 103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist