DR. AMY FUNKENSTEIN (NPI# 1801038021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801038021 |
| Entity Type | Individual |
| Full Name | DR. AMY FUNKENSTEIN |
| Credential | M.D. |
| Practice Address |
83 Leonard St Ste 8 Belmont MA 02478 |
| Mailing Address |
83 Leonard St Ste 8 Belmont MA 02478-2508 |
| Practice Telephone | 6173839649 |
| Practice Fax Number | 6174892597 |
| Mailing Telephone | 6173839649 |
| Mailing Fax Number | 6174892597 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD14264 | RI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
249885 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICAL LICENSE | MD14264 | 01 |
| Street Address |
83 LEONARD ST STE 8 |
| City | BELMONT |
| State | MA |
| Zip Code | 02478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
| 1336289099 | Tatjana Dujmic | Psychiatry & Neurology | 115 Mill St Fl 9, Belmont, MA 02478-1064 | 2007-02-08 |
| 1831278803 | Andrew M. Stromberg | Psychiatry & Neurology | 14 Baker St, Belmont, MA 02478-4025 | 2006-11-02 |
| 1700844776 | Naomi Dworkin | Psychiatry & Neurology | 144 Sherman St, Belmont, MA 02478-4101 | 2006-05-01 |
| 1104017797 | Sigalit Hoffman | Psychiatry & Neurology | 115 Mill St, Proctor House 2 Mailstop 222, Belmont, MA 02478-1064 | 2007-08-07 |
| 1912012691 | Julie R Van Der Feen | Psychiatry & Neurology | 115 Mill St, Belmont, MA 02478-1064 | 2006-08-20 |
| 1619936846 | Blaise A Aguirre | Psychiatry & Neurology | 115 Mill St, East House, Belmont, MA 02478-1041 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1770703878 | Brookline Psychiatry, Inc. | Psychiatry & Neurology | 1685 Beacon St, Brookline, MA 02445-4411 | 2007-04-30 |
| Find all providers with the same taxonomy | ||||
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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.