EDUARDO M. BUSTAMANTE (PSYCHOLOGIST) – Clinical Psychologist, NPI 1396960720

EDUARDO M. BUSTAMANTE (PSYCHOLOGIST) is a healthcare provider. based in Easthampton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYCHOLOGIST. They hold a License No. 3644 (MA). The NPI Number for EDUARDO M. BUSTAMANTE (PSYCHOLOGIST) is 1396960720

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
EDUARDO M. BUSTAMANTE (PSYCHOLOGIST)
NPI
1396960720
Phone
(413) 203-1450
Address
29 PINE HILL RD
Enumeration Date
13 April 2007
Last Update Date
3 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137363668
Graduation Year
1983 (43 years ago)
PAC ID
9335249986
Group Practice PAC ID
3072596360
Professional Enrollment ID
I20070711000493
Address ID
MA011043736SP417XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for EDUARDO M. BUSTAMANTE (PSYCHOLOGIST)

  • 29 PINE HILL RD

    EASTHAMPTON, MA 010279760

    Phone: (413) 203-1450

    Type: Mailing

  • 235 MAPLE ST

    HOLYOKE, MA 010405123

    Phone: (413) 532-0389

    Fax: (413) 534-3238

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070711000493IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes25112$0
View full utilization report →

Insurance plans in this area (ZIP 01027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072596360View full group profile

Reviews

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Frequently asked questions

What federal number belongs to EDUARDO M. BUSTAMANTE (PSYCHOLOGIST)?
The federal identifier for EDUARDO M. BUSTAMANTE (PSYCHOLOGIST) is NPI 1396960720.
Is EDUARDO M. BUSTAMANTE (PSYCHOLOGIST) active in the national directory?
EDUARDO M. BUSTAMANTE (PSYCHOLOGIST)'s public NPI profile is in an active state.
Can you summarize EDUARDO M. BUSTAMANTE (PSYCHOLOGIST)'s specialty in plain language?
Clinically, the directory lists EDUARDO M. BUSTAMANTE (PSYCHOLOGIST) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for EDUARDO M. BUSTAMANTE (PSYCHOLOGIST)?
We surface Easthampton, Massachusetts for EDUARDO M. BUSTAMANTE (PSYCHOLOGIST) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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