Gary M Warstadt (NPI# 1639155013, PAC ID# 8022065135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1639155013 |
| PAC ID by PECOS | 8022065135 |
| Professional Enrollment ID | I20050331001015 |
| Full Name | Gary M Warstadt |
| Organization Legal Name | SOUTHEASTERN PSYCHIATRIC ASSOC |
| Address |
2100 Dorchester Ave Dorchester MA 02124-5666 |
| Phone Number | 7819637775 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4486696614 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220017 | CARNEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 7819637775 | SOUTHEASTERN PSYCHIATRIC ASSOC |
| 1093 N Main St, Associates PC, Randolph, MA 02368-2100 | 7819637775 | SOUTHEASTERN PSYCHIATRIC ASSOC |
| Organization Legal Name | SOUTHEASTERN PSYCHIATRIC ASSOC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Sheppard Reece | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Fiona Mudge | Psychiatry | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Evelyn L Savitz | Certified Clinical Nurse Specialist (cns) | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Dean Solomon | Psychiatry | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Jennifer L Gondelman | Certified Clinical Nurse Specialist (cns) | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Leonard Marcus | Psychiatry | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Jessica L Kolczewski | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Harry Berg | Clinical Social Worker | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Peter J Erines | Psychologist, Clinical | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Street Address |
2100 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip | 02124-5666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anas Wardeh | Critical Care (intensivists) | Steward Medical Group Inc | 2100 Dorchester Ave, Suite 2202, Dorchester, MA 02124-5615 |
| Mary Miller | Certified Registered Nurse Anesthetist (crna) | Cap Anesthesia, PC | 2100 Dorchester Ave, Boston, MA 02124-5615 |
| Jinesh Kochar | Internal Medicine | Steward Medical Group Inc | 2100 Dorchester Ave, Suite 2214, Dorchester Center, MA 02124-5666 |
| Eugenio Bortoloto-neto | Nurse Practitioner | Steward Medical Group Inc | 2100 Dorchester Ave, Suite 2214, Dorchester Center, MA 02124-5666 |
| Evelyn L Savitz | Certified Clinical Nurse Specialist (cns) | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| David S Robinson | Psychiatry | Steward Medical Group Inc | 2100 Dorchester Ave, Suite 2214, Dorchester Center, MA 02124-5666 |
| Matthew R Brackman | General Surgery | Steward Medical Group Inc | 2100 Dorchester Ave, Suite 2202, Dorchester, MA 02124-5615 |
| Dean Solomon | Psychiatry | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Chantal Nouvellon | Psychiatry | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | |
| Leonard Marcus | Psychiatry | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Dupuy | Chiropractic | Active Chiropractic Rehab Inc | 497 Washington St, Dorchester, MA 02124-2014 |
| Carl J Virusso | Chiropractic | Active Chiropractic Rehab Inc | 497 Washington St, Dorchester, MA 02124-2014 |
| Jonathan M Pincus | Internal Medicine | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Marie A Pierre-victor | Clinical Social Worker | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Denise M Croken | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Melissa Dagher | Clinical Social Worker | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Jahna Knobler | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Elisabeth A. Offenberger | Registered Dietitian Or Nutrition Professional | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Jane F Tuitt | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Sara A Tepperberg | Family Medicine | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Find all physicians in zip 02124 | |||
| City | DORCHESTER |
| Zip Code | 02124 |
| Specialty | PSYCHIATRY |
| City + Specialty | DORCHESTER + PSYCHIATRY |
Please comment or provide details below to improve the information on Gary M Warstadt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.