Provider Demographics
NPI:1720122070
Name:SAAKVITNE, KAREN W (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:W
Last Name:SAAKVITNE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CENTER ST
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3063
Mailing Address - Country:US
Mailing Address - Phone:413-585-9333
Mailing Address - Fax:
Practice Address - Street 1:43 CENTER ST
Practice Address - Street 2:SUITE # 102
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3063
Practice Address - Country:US
Practice Address - Phone:413-585-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4371103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0502669Medicaid
MAWO4310OtherBCBSMA
MASA W04310Medicare ID - Type UnspecifiedMEDICARE PROVIDER