Basic Information
Provider Information
NPI: 1073583605
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FEINMAN
FirstName: JOEL
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 8019
Address2: VALLEY MEDICAL GROUP, PC
City: SPRINGFIELD
State: MA
PostalCode: 011028000
CountryCode: US
TelephoneNumber: 8664314077
FaxNumber: 4137747448
Practice Location
Address1: 31 HALL DR
Address2: AMHERST MEDICAL CENTER
City: AMHERST
State: MA
PostalCode: 010022751
CountryCode: US
TelephoneNumber: 4132568561
FaxNumber: 4132564412
Other Information
ProviderEnumerationDate: 01/25/2006
LastUpdateDate: 06/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X3504MAY Behavioral Health & Social Service ProvidersPsychologistClinical

ID Information
IDTypeStateIssuerDescription
00350401MATUFTS HEALTH PLANOTHER
766307801MAAETNA BEHAVIORAL HEALTHOTHER
23896700001MAMAGELLAN BEHAVIORAL HEALTOTHER
203413501MACIGNA BEHAVIORAL HEALTHOTHER
2536901MAHEALTH NEW ENGLANDOTHER
129346201MAFALLONOTHER
W0357201MABLUE CROSS BLUE SHIELDOTHER


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