Provider Demographics
NPI:1548256159
Name:BARDEN, ROBERT JAMES (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:BARDEN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CENTER ST STE 303
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3031
Mailing Address - Country:US
Mailing Address - Phone:413-587-3141
Mailing Address - Fax:
Practice Address - Street 1:16 CENTER ST STE 303
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3031
Practice Address - Country:US
Practice Address - Phone:413-587-3141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7261103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA150903OtherVALUEOPTIONS
MA368401OtherMAGELLAN BEHAVIORAL HEALT
MA1077070OtherBEACON HEALTH STRATEGIES
MA214437OtherMHN
MA28313OtherHEALTH NEW ENGLAND
MA1859668Medicaid
MAW05234OtherBC/BS OF MA
MA2282470OtherFIRST HEALTH
MA1859668Medicaid
MA2282470OtherFIRST HEALTH