Healthcare Provider Details

I. General information

NPI: 1144373358
Provider Name (Legal Business Name): RICHARD GORDON HONIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 GREAT BARRINGTON RD.
WEST STOCKBRIDGE MA
01266
US

IV. Provider business mailing address

316 GREAT BARRINGTON RD
HOUSATONIC MA
01236-9729
US

V. Phone/Fax

Practice location:
  • Phone: 413-274-0110
  • Fax: 413-274-0116
Mailing address:
  • Phone: 413-274-0110
  • Fax: 413-274-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number253115
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: