Healthcare Provider Details

I. General information

NPI: 1477621944
Provider Name (Legal Business Name): BARRY H. FEDERMAN RN,MS,CNS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 TRUMBULL RD STE 203
NORTHAMPTON MA
01060-3093
US

IV. Provider business mailing address

31 TRUMBULL RD
NORTHAMPTON MA
01060-3036
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-4600
  • Fax: 413-584-5200
Mailing address:
  • Phone: 413-584-4600
  • Fax: 413-584-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number184485
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: