DR. PHILIP D GOTTLIEB (NPI# 1114925138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114925138 |
| Entity Type | Individual |
| Full Name | DR. PHILIP D GOTTLIEB |
| Credential | M.D. |
| Practice Address |
246 Walnut Street Suite 104 Newton MA 02460 |
| Mailing Address |
246 Walnut Street Suite 104 Newton MA 02460-1639 |
| Practice Telephone | 6172443322 |
| Practice Fax Number | 6172441827 |
| Mailing Telephone | 6172443322 |
| Mailing Fax Number | 6172441827 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9803 | NH | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
014771 | ME | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
36020 | MA | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
9803 | NH | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
014771 | ME | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
36020 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0180653 | 05 | |
| MA | BLUE CROSS AND BLUE SHIEL | M08983 | 01 |
| NH | 3112961 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789541 | Philip D Gottlieb | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-09-08 |
| Street Address |
246 WALNUT STREET SUITE 104 |
| City | NEWTON |
| State | MA |
| Zip Code | 02460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649741307 | Joseph Allen Jr. | Counselor | 223 Needham Street, Newton, MA 02460 | 2018-12-06 |
| 1447636204 | Ontraack Coaching & Consulting | Social Worker | 60 Austin Street Suite 101, Newton, MA 02460 | 2015-08-04 |
| 1649458274 | Opticians 3 | Eyewear Supplier (Equipment, not the service) | 336 Walnut Street, Newtonville, MA 02460 | 2008-02-06 |
| 1730376690 | Astrid H Hildebrand | Counselor | 797 Washington St., Ste 4, Newton, MA 02460 | 2007-09-25 |
| 1225232036 | Carrie J Jochelson | Counselor | 46 Austin Street, Suite 303, Newtonville, MA 02460 | 2007-06-14 |
| 1417090804 | Andrew L Epstein | Internal Medicine | The Bard Group, 246 Walnut Street, Newton, MA 02460 | 2007-02-15 |
| 1740357458 | Edwin Gordy | Family Medicine | 17 Otis St, Newton, MA 02460 | 2006-11-29 |
| 1689683120 | Donna M Weintraub | Social Worker | 38 Colonial Avenue, Newton, MA 02460 | 2006-08-05 |
| 1629086459 | Tod R Gross | Psychologist | 50 Adams Street, Newton, MA 02460 | 2006-08-04 |
| 1518528637 | Talk Works, LLC | Social Worker | 797 Washington St, Ste. 3, Newton, MA 02460 | 2019-06-28 |
| Find all providers in zip 02460 | ||||
| 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 |
|---|---|---|---|---|
| 1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1477745271 | Laurie Coyner, Md Pa | Psychiatry & Neurology | 800 Medical Center Dr Ste 230, Newton, KS 67114-7808 | 2007-08-15 |
| 1265622393 | Alan D Persky | Psychiatry & Neurology | 74 Brackett Rd, Newton, MA 02458-2614 | 2007-07-25 |
| 1023137411 | Sharon Seibel | Psychiatry & Neurology | 170 Old Farm Rd, Newton, MA 02459-3457 | 2007-03-28 |
| 1902923790 | Judy S R Tsafrir | Psychiatry & Neurology | 120 Sumner St, Newton, MA 02459-1957 | 2007-03-25 |
| 1588795520 | Jonathan Palmer | Psychiatry & Neurology | 21 Coolidge Rd, Newton, MA 02459-1201 | 2007-03-09 |
| 1750425443 | Michael Rothman | Psychiatry & Neurology | 37 Grayson Ln, Newton, MA 02462-1020 | 2007-02-16 |
| 1205970993 | Alan S Pollack | Psychiatry & Neurology | 987 Chestnut St, # 7, Newton, MA 02464-1101 | 2007-02-16 |
| 1003958182 | Martha Stark | Psychiatry & Neurology | 3 Ripley St, Newton, MA 02459-2209 | 2007-02-13 |
| Find all providers in NEWTON | ||||
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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.