DR. J. ALEXANDER BODKIN (NPI# 1235222969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235222969 |
| Entity Type | Individual |
| Full Name | DR. J. ALEXANDER BODKIN |
| Credential | M.D. |
| Practice Address |
115 Mill Street Belmont MA 02478 |
| Mailing Address |
115 Mill Street Mclean Hospital Belmont MA 02478 |
| Practice Telephone | 6178553186 |
| Practice Fax Number | 6178552936 |
| Mailing Telephone | 6178553186 |
| Mailing Fax Number | 6178552936 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
56622 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS | JO8279 | 01 |
| Street Address |
115 MILL STREET |
| City | BELMONT |
| State | MA |
| Zip Code | 02478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635504 | Tracey A Milligan | Psychiatry & Neurology | 115 Mill Street, Mclean Hospital, Belmont, MA 02478 | 2005-11-07 |
| 1225662323 | Alan Eric Fruzzetti | Psychologist | 115 Mill Street, Mclean Hospital, Belmont, MA 02478-0247 | 2020-02-27 |
| 1760952808 | Lauren F Asermely | Nurse Practitioner | 115 Mill Street, Internal Medicine Associates, Belmont, MA 02478 | 2018-12-02 |
| 1407347545 | Michelle C Capozzoli | Student in an Organized Health Care Education/Training Program | 115 Mill Street, Mailstop 234, Belmont, MA 02478 | 2018-05-24 |
| 1326536251 | Christian Anthony Webb | Psychologist | 115 Mill Street, Demarneffe Building Room 240, Belmont, MA 02478 | 2018-04-26 |
| 1518480730 | Taylor Brooke Melville | Psychologist | 115 Mill Street, South Belknap Building Floor 3, Belmont, MA 02478 | 2017-07-19 |
| 1104348663 | Hayley Lauren Paret | Registered Nurse | 115 Mill Street, Mclean Hospital, Belmont, MA 02478 | 2017-07-16 |
| 1588076715 | Amanda Sedgewick | Psychiatry & Neurology | 115 Mill Street, Mail Stop #222, Belmont, MA 02478 | 2014-05-22 |
| 1962638536 | Ipsit Vihang Vahia | Psychiatry & Neurology | 115 Mill Street, Belmont, MA 02478 | 2009-06-09 |
| 1225297765 | William B Ruzicka | Psychiatry & Neurology | 115 Mill Street, Mclean Hospital, Belmont, MA 02478 | 2008-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336660323 | Nat Kuhn Md, LLC | Psychiatry & Neurology | 68 Leonard St Ste 208, Belmont, MA 02478-2577 | 2017-06-29 |
| 1881027282 | Carter Medical Consulting LLC | Psychiatry & Neurology | 115 Mill St Ms 213, Mclean Hospital, Belmont, MA 02478 | 2013-08-21 |
| 1669729828 | Maria Jose Lisotto | Psychiatry & Neurology | 115 Mill St # Ms 343, Belmont, MA 02478-1048 | 2012-08-07 |
| 1801038021 | Amy Funkenstein | Psychiatry & Neurology | 83 Leonard St Ste 8, Belmont, MA 02478 | 2009-04-02 |
| 1346458635 | Michael Jay Bennett | Psychiatry & Neurology | 11 Dunbarton Rd, Belmont, MA 02478-2458 | 2007-05-18 |
| 1215153408 | Michael Edward Lara Jr. | Psychiatry & Neurology | 1301 Ralston Ave Ste C, Belmont, CA 94002-1961 | 2007-04-17 |
| 1023149960 | John D Gambill | Psychiatry & Neurology | 29 Stults Rd, Belmont, MA 02478-3428 | 2007-03-09 |
| 1376679704 | Mia D Gore | Psychiatry & Neurology | Mclean Hospital, Ms 222, 115 Mill Street, Belmont, MA 02478 | 2007-02-27 |
| 1376678813 | Linda L. Cunningham | Psychiatry & Neurology | 9 Alexander Avenue, Belmont, MA 02478-4802 | 2007-02-23 |
| 1174662654 | Paul A Buttenwieser | Psychiatry & Neurology | 200 Marsh St, Belmont, MA 02478-2133 | 2007-02-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.