MICHAEL F. LARSON (NPI# 1407896418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407896418 |
| Entity Type | Individual |
| Full Name | MICHAEL F. LARSON |
| Credential | DO |
| Practice Address |
485 Arsenal St Watertown MA 02472-5091 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6179725540 |
| Practice Fax Number | 6179725564 |
| Mailing Telephone | 6175598051 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
160807 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 0037398 | 01 |
| MA | BLUE CROSS | J21527 | 01 |
| MA | TUFTS HEALTH PLAN | 347529 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015172 | Michael Larson | Optometrist | 8906 Bob White Dr, Houston, TX 77074-7528 | 2015-06-16 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1093711848 | Michael Joe Larson | Dentist | 30940 Stagecoach Blvd, Ste E250, Evergreen, CO 80439-7984 | 2005-06-27 |
| 1518960087 | Michael J Larson | Orthopaedic Surgery | 360 East Main, Rexburg, ID 83440 | 2005-05-27 |
| 1235730292 | Michael Larson | Pharmacist | 2000 Orchard Rd, Montgomery, IL 60538-1028 | 2020-11-05 |
| 1902411903 | Michael S Larson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-09-15 |
| 1104455294 | Michael Larson | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-04-02 |
| 1801424544 | Michael J Larson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1829 | 2020-03-30 |
| 1417452376 | Michael Odell Larson | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2018-03-23 |
| 1154829497 | Michael A Larson | Social Worker | 1212 E College Dr, Marshall, MN 56258-2010 | 2018-01-31 |
| Street Address |
485 ARSENAL ST |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980230 | Jahansouz Shokri | Internal Medicine | 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 | 2005-05-30 |
| 1497352785 | Kelli Sims | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2020-10-08 |
| 1912464793 | Carolyn Comeau | Nurse Practitioner | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-27 |
| 1699231167 | Jenna D Picton | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-20 |
| 1790265098 | Stefanos Daniel Torkos | Pharmacist | 485 Arsenal St, Watertown, MA 02472 | 2018-08-16 |
| 1255848123 | Patrick Mccarthy | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2018-01-02 |
| 1144747197 | Kevin Andrew Deleonardo | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2017-08-29 |
| 1659825016 | Semie Durrani | Pharmacist | 485 Arsenal St, Pharmacy Admin Dept., Watertown, MA 02472-5091 | 2016-08-15 |
| 1467809384 | Marie Wenzel | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-20 |
| 1336596717 | Katherine Loomer | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297686 | Scott F Ulberg | Psychiatry & Neurology | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
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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.