DR. BRAD SHATTUCK (NPI# 1598029084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598029084 |
Entity Type | Individual |
Full Name | DR. BRAD SHATTUCK |
Credential | D.O. |
Practice Address |
800 Boylston St. 16th Floor Boston MA 02199 |
Practice Telephone | 8572888342 |
Practice Fax Number | 8881605204 |
Mailing Telephone | 8572888342 |
Mailing Fax Number | 8881605204 |
Enumeration Date | 2012-06-28 |
Last Update Date | 2018-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
261480 | MA | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
252801 | MA | Allopathic & Osteopathic Physicians |
Street Address |
800 BOYLSTON ST. 16TH FLOOR |
City | BOSTON |
State | MA |
Zip Code | 02199 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811206444 | Amy Boyce | Dietitian, Registered | 800 Boylston St., Fitcorp, Prudential Center, Boston, MA 02199 | 2010-09-30 |
1861773939 | Maria E. Cardenas, D.m.d., P.C. | Dentist | 800 Boylston St., Suite 200 Prudential Tower, Boston, MA 02199-8001 | 2011-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568856953 | Dental Delights PC | Dentist | 770 Boylston Street, Apt#4d, Boston, MA 02199 | 2015-03-24 |
1629217807 | Enrico Petrillo | Internal Medicine | Cb Health Ventures, L.L.C., 800 Boylston St . Suite 1585, Boston, MA 02199 | 2009-02-12 |
1053465542 | Minaj Naimi | Dentist | 800 Boyston Street, Suite 200, Boston, MA 02199 | 2007-01-22 |
1578617163 | Michael O Toole | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-01-22 |
1609952555 | Laurie Kaslow | Social Worker | 56 Dimock Street, Roxbury, MA 02199 | 2006-10-31 |
1073088241 | And Still We Rise, LLC | Community/Behavioral Health | 800 Boylston St, Floor 16, Boston, MA 02199 | 2018-10-03 |
1518007392 | Charles M Travring | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-08 |
1790824985 | Maria E Cardenas | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-05 |
1144368507 | James H Sowles | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-01 |
1942866900 | Carly F Park | Dentist | 800 Boylston St Fl 2, Boston, MA 02199-1900 | 2019-05-15 |
Find all providers in zip 02199 |
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.