DR. SUSAN DUBOIS SWICK (NPI# 1952391419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952391419 |
| Entity Type | Individual |
| Full Name | DR. SUSAN DUBOIS SWICK |
| Credential | MD |
| Practice Address |
55 Fruit St Wrn 605 Psyciatry Associates Inpatient Consult Boston MA 02114-2696 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177245001 |
| Practice Fax Number | 6177265576 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
210051 | MA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
210051 | MA | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
210051 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2044030 | 05 | |
| MA | TUFTS HEALTH PLAN | 468925 | 01 |
| MA | BCBS MA | J27346 | 01 |
| Street Address |
55 FRUIT ST WRN 605 PSYCIATRY ASSOCIATES INPATIENT CONSULT |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992787105 | John Joseph Purcell | Psychiatry & Neurology | 55 Fruit St Wrn 605, Psychiatry Associates Inpatient Consult, Boston, MA 02114-2696 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154397289 | Brian M Keefe | Psychiatry & Neurology | 25 Stanford St, Plaza Level Erich Lindemann Mental Health Center, Boston, MA 02114-2696 | 2006-02-28 |
| 1861470213 | Ronald Schouten | Psychiatry & Neurology | 15 Parkman Street Wac 805, Psychiatry Outpatient Referral Service, Boston, MA 02114 | 2006-01-05 |
| 1629487905 | Stephanie M. Taormina | Psychiatry & Neurology | 1 Boston Medical Center Place, Boston, MA 02118 | 2014-08-12 |
| 1053633511 | Annmarie Caracansi | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2010-02-24 |
| 1841456209 | Hebert Georges | Psychiatry & Neurology | 85 E Newton St, Suite 739, Boston, MA 02118-2340 | 2008-08-04 |
| 1972657021 | Mary Ellen Grace Foti | Psychiatry & Neurology | 25 Staniford St, Clinical and Professional Services, Boston, MA 02114-2503 | 2007-01-23 |
| 1043380165 | Pamela J Beasley | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-11-08 |
| 1821022575 | Ingrid A Li | Psychiatry & Neurology | 800 Washington St, #1007, Boston, MA 02111-1552 | 2006-07-10 |
| 1720056047 | Andrew B. Clark | Psychiatry & Neurology | 1 Boston Medical Center Place, Boston, MA 02118 | 2006-03-11 |
| 1366417347 | Donald Bryant Condie | Psychiatry & Neurology | 55 Fruit St Yaw 6900, Child Adolescent Psychiatry, Boston, MA 02114 | 2006-02-22 |
| 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.