Basic Information
Provider Information | |||||||||
NPI: | 1578528378 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | BINDER | ||||||||
FirstName: | HARVEY | ||||||||
MiddleName: | M. | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1040 MAIN ST | ||||||||
Address2: | CARING HEALTH CENTER | ||||||||
City: | SPRINGFIELD | ||||||||
State: | MA | ||||||||
PostalCode: | 011032107 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4137391100 | ||||||||
FaxNumber: | 4137351130 | ||||||||
Practice Location | |||||||||
Address1: | 1040 MAIN ST | ||||||||
Address2: | CARING HEALTH CENTER | ||||||||
City: | SPRINGFIELD | ||||||||
State: | MA | ||||||||
PostalCode: | 011032107 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4137391100 | ||||||||
FaxNumber: | 4137351130 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/18/2006 | ||||||||
LastUpdateDate: | 12/21/2012 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 216221 | MA | Y |   | Allopathic & Osteopathic Physicians | Pediatrics |   |
ID Information
ID | Type | State | Issuer | Description | 32628 | 01 | MA | HNE | OTHER | 1310097 | 05 | MA |   | MEDICAID | 3968488 | 01 | MA | AETNA | OTHER | 7296140001 | 01 | MA | CIGNA | OTHER | 972633 | 01 | MA | NETWORK HEALTH | OTHER | J25852 | 01 | MA | BC/BS NUMBER | OTHER | 000000029991 | 01 | MA | HEALTHNET | OTHER | AA31349 | 01 | MA | HARVARD PILGRIM | OTHER | 0035387 | 01 | MA | NHP | OTHER |