Healthcare Provider Details

I. General information

NPI: 1578528378
Provider Name (Legal Business Name): HARVEY M. BINDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 12/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 MAIN ST CARING HEALTH CENTER
SPRINGFIELD MA
01103-2107
US

IV. Provider business mailing address

1040 MAIN ST CARING HEALTH CENTER
SPRINGFIELD MA
01103-2107
US

V. Phone/Fax

Practice location:
  • Phone: 413-739-1100
  • Fax: 413-735-1130
Mailing address:
  • Phone: 413-739-1100
  • Fax: 413-735-1130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number216221
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier32628
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHNE
# 2
Identifier1310097
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 3
Identifier3968488
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerAETNA
# 4
Identifier7296140001
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerCIGNA
# 5
Identifier972633
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerNETWORK HEALTH
# 6
IdentifierJ25852
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBC/BS NUMBER
# 7
Identifier000000029991
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHEALTHNET
# 8
IdentifierAA31349
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHARVARD PILGRIM
# 9
Identifier0035387
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerNHP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: