DR. MARINA PETERS (NPI# 1922449024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922449024 |
| Entity Type | Individual |
| Full Name | DR. MARINA PETERS |
| Other Name | DR. MARINA SELIVERSTOV |
| Credential | D.O. |
| Practice Address |
774 Albany St Boston MA 02118-2520 |
| Mailing Address |
1010 Massachusetts Ave Boston MA 02118-2600 |
| Practice Telephone | 6175344681 |
| Practice Fax Number | 8572882253 |
| Mailing Telephone | (617) 419-3408 |
| Mailing Fax Number | 6175342611 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
264952 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 940 Belmont St, Brockton, MA 023015596 | 7748261789 |
| Street Address |
774 ALBANY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431492 | Boston Public Health Commission | Public Health or Welfare | 774 Albany St, Boston, MA 02118-2520 | 2006-07-18 |
| 1073112850 | David E Mattei | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-2551 | 2020-10-22 |
| 1679180830 | Rachel E Holmes | Social Worker | 774 Albany St, Boston, MA 02118-3551 | 2020-09-30 |
| 1760001499 | Denise Renee Haskins | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-3551 | 2020-04-13 |
| 1346888203 | Charles Chidiebere Akwari | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-2600 | 2019-12-11 |
| 1235770264 | Sarah M Hagan | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2019-10-01 |
| 1457992489 | Rachel A Gliniecki | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2019-10-01 |
| 1780246850 | Meghan Elizabeth Johnson | Social Worker | 774 Albany St, Boston, MA 02118-2520 | 2019-06-28 |
| 1679130678 | Jessica A Nieuwenhuizen | Social Worker | 774 Albany St, Boston, MA 02118-2520 | 2019-05-24 |
| 1255803896 | Nnamdi Udemagwuna | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2018-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| 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 |
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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.