Active NPI
Joseph Yeretsian, M.D.
- Psychiatry Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 235819
- Practice address
- 361 Newbury St FL 5
Boston, MA 02115-2727 - Phone
- (617) 865-4910
- Fax
- (617) 507-1426
- NPI assigned
- Jul 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0056212 | CO | |
| Psychiatry Physician | 2084P0800X | 235819 | MA | Primary |
Addresses
Primary practice location
361 Newbury St FL 5
Boston, MA 02115-2727
Mailing address
361 Newbury St FL 5
Boston, MA 02115-2727
Phone (617) 865-4910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200318000785 | CO | Practitioner - Psychiatry | 6002944824 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Yeretsian, P.C. | Current | Accepting new patients | |
| Joseph Yeretsian, PC | Psychiatry | Past | Accepting new patients |
| Joseph Yeretsian, PC | Past | Accepting new patients | |
| Joseph Yeretsian, PC | Past | Accepting new patients | |
| Joseph Yeretsian, PC | Psychiatry | Past | Accepting new patients |
| Joseph Yeretsian, PC | Past | Accepting new patients | |
| Joseph Yeretsian, PC | Psychiatry | Past | Accepting new patients |
| Joseph Yeretsian, PC | Psychiatry | Past | Accepting new patients |
Locations
4770 Baseline Rd
Ste 300
Boulder, CO 80303
Phone (720) 798-4516
4770 Baseline Rd
Ste 200
Boulder, CO 80303
Phone (307) 840-9834
155 Boardwalk Dr
Ste 400
Fort Collins, CO 80525
Phone (970) 549-0235
20 Park Plz
Fl Fourth
Boston, MA 02116
Phone (617) 507-1472
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boulder, CO
- NPI 1942668165
CO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brookline, MA
- NPI 1770055030
Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1417602111
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
- NPI 1861147555
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
- NPI 1871248567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1003070210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 NEWBURY ST FL 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152727",
"telephone_number": "617-865-4910",
"fax_number": "617-507-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 NEWBURY ST FL 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152727",
"telephone_number": "617-865-4910",
"fax_number": "617-507-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERETSIAN",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0056212",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "235819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.