HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC (NPI# 1770524373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770524373 |
| Entity Type | Organization |
| Organization Name | HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC |
| Other Organization Name | PSYCHIATRY - HMFP AT BIDMC |
| Practice Address |
330 Brookline Ave Boston MA 02215 |
| Mailing Address |
375 Longwood Ave Ste 3 Boston MA 02215-5395 |
| Practice Telephone | 6176674654 |
| Practice Fax Number | 6176674934 |
| Mailing Telephone | 6176327441 |
| Mailing Fax Number | 6176327550 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | DR. ALEXANDRA BOER KIMBALL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6176327441 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9768157 | 05 |
| Other Name | Type Code |
|---|---|
| Psychiatry - HMFP at BIDMC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790113389 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Durable Medical Equipment & Medical Supplies | 40 Allied Dr Ste 104, Dedham, MA 02026-6146 | 2013-10-17 |
| 1154435915 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Nurse Practitioner | 330 Brookline Ave # E/tcc-2, Boston, MA 02215 | 2006-08-18 |
| 1538774443 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Clinic/Center | 910 Washington St, Dedham, MA 02026-6022 | 2020-09-09 |
| 1972116754 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Clinic/Center | 910 Washington St, Dedham, MA 02026-6022 | 2020-08-31 |
| 1942334933 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | General Acute Care Hospital | 330 Brookline Ave, Boston, MA 02215 | 2007-03-14 |
| 1235218843 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Pediatrics | 330 Brookline Ave, Boston, MA 02215 | 2006-11-03 |
| 1508963901 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | General Acute Care Hospital | 330 Brookline Ave, Boston, MA 02215 | 2006-09-20 |
| 1043250616 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Dermatology | 330 Brookline Ave, Masco 3, Boston, MA 02215 | 2006-06-08 |
| 1316987993 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | 330 Brookline Ave, Boston, MA 02215 | 2006-06-08 |
| 1346281938 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | Pathology | 330 Brookline Ave, Boston, MA 02215 | 2006-06-08 |
| Street Address |
330 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541458 | Carolyn Zelop | Obstetrics & Gynecology | 330 Brookline Ave, Ks 306, Boston, MA 02215-5400 | 2005-07-12 |
| 1134735848 | Wassef Chanbour | Ophthalmology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
| 1174139976 | Christopher Joseph Allen | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
| 1982218970 | Carleen E Cox | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-07 |
| 1245842319 | Emily Anne Keegan | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-08-20 |
| 1043822505 | Ann Korkidakis | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Kirstein 3, Boston, MA 02215-5400 | 2020-08-17 |
| 1023628468 | Bryar Hasenjaeger | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-31 |
| 1023627262 | Vikram Karnik | Psychiatry & Neurology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-23 |
| 1386252682 | Nancy Littlehale | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-22 |
| 1356968598 | Jessica Catherine Okrant | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| 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 |
|---|---|---|---|---|
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1346893336 | Gregory Michael Cohen | Psychiatry & Neurology | 720 Harrison Ave Boston Medical Center, Doctors Office, Suite 7600, Boston, MA 02118 | 2019-07-19 |
| 1124523311 | Varsha Radhakrishnan | Psychiatry & Neurology | 330 Brookline Avenue, Rabb-2, Bidmc Harvard Psychiatry Residency Training Program, Boston, MA 02215 | 2018-03-28 |
| 1760987408 | Lucy Lan | Psychiatry & Neurology | Department of Psychiatry, Boston Medical Center, Doctor's Office Building, 720 Harrison Ave, Suite 915, Boston, MA 02118 | 2018-03-26 |
| 1245734607 | Brittany Morgan Gouse | Psychiatry & Neurology | 720 Harrison Ave Fl 9, Boston, MA 02118 | 2018-03-21 |
| 1063875482 | Mariel Linnea Cataldi | Psychiatry & Neurology | 720 Harrison Ave Ste 915, Boston, MA 02118-2334 | 2016-04-02 |
| 1568824134 | Eric Roll | Psychiatry & Neurology | 720 Harrison Ave Ste 914, Boston, MA 02118-2334 | 2016-03-23 |
| 1386031631 | Kevin Mauclair Simon | Psychiatry & Neurology | 300 Longwood Ave Fl 1, Boston, MA 02115-5724 | 2015-04-23 |
| 1073909479 | Joshua Ryan Smith | Psychiatry & Neurology | 55 Fruit St Ste 6a, Boston, MA 02114-2696 | 2015-04-13 |
| 1730508540 | Stephanie Tung | Psychiatry & Neurology | 450 Brookline Ave # Da2016a, Boston, MA 02215-5418 | 2014-04-08 |
| Find all providers in BOSTON | ||||
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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.