DR. JACOB S UNIL MATHEW (NPI# 1952558736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952558736 |
| Entity Type | Individual |
| Full Name | DR. JACOB S UNIL MATHEW |
| Credential | MD |
| Practice Address |
750 Washinton Street Boston MA 02111 |
| Mailing Address |
2413 Massachusetts Ave Lexington MA 02421-6736 |
| Practice Telephone | 6176367459 |
| Mailing Telephone | 7819685171 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
237589 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205973476 | Jacob Mathew | Anesthesiology | 255 East 90 Dr, Merrillville, IN 46410 | 2007-01-30 |
| 1407857634 | Jacob K Mathew | Psychiatry & Neurology | 100 Oakland Ave, Suite 4, Port Jefferson, NY 11777-2172 | 2005-08-10 |
| 1255982039 | Jacob Mathew | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-09-24 |
| 1780076760 | Jacob Mathew | Pediatrics | 3333 Burnet Ave, Cardiology Dept., Cchmc, Cincinnati, OH 45229-3026 | 2015-02-27 |
| 1992068894 | Jacob Mathew Jr. | Internal Medicine | 1650 Cochrane Cir, Evans Army Community Hospital, Fort Carson, CO 80913-4613 | 2012-06-17 |
| 1407160187 | Jacob J Mathew | Internal Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2010-08-04 |
| 1710141346 | Jacob Mathew | Internal Medicine | 2720 Clare Ave, Suite A, Bremerton, WA 98310-3374 | 2008-07-14 |
| 1710177506 | Jacob Muthalaly Mathew | Internal Medicine | 1970 Roanoke Blvd, Department of Cardiology, Salem, VA 24153-6404 | 2007-07-27 |
| 1033319843 | Jacob Mathew | Physician Assistant | 750 Brunswick Ave, Capital Health Regional Medical Ctr- Neurosciences Dept, Trenton, NJ 08638-4143 | 2007-07-19 |
| 1588877062 | Jacob John Mathew | Psychologist | 6920 220th St Sw, Suite 106, Mountlake Terrace, WA 98043-2177 | 2007-05-08 |
| Street Address |
750 WASHINTON STREET |
| City | BOSTON |
| State | MA |
| Zip Code | 02111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154506871 | Shohreh Modanlou | Anesthesiology | 750 Washinton Street, Boston, MA 02111-1533 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| 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.