Active NPI
Irina Angel, MD
- Psychiatry Physician
- Cambridge, MA
National Provider Identifier
1023058419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 160200
- Practice address
- 1611 Cambridge St
Cambridge, MA 02138-4302 - Phone
- (617) 661-5515
- Fax
- (617) 661-5182
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- 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 | 160200 | MA | Primary |
| Counselor | 101Y00000X | 160200 | MA |
Addresses
Primary practice location
1611 Cambridge St
Cambridge, MA 02138-4302
Mailing address
264 Beacon St
5TH Floor
Boston, MA 02116-1254
Phone (617) 388-9252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160200 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Community Care, Inc. | Current | Accepting new patients | |
| New England Center for Mental Health LLC | Current | Accepting new patients |
Locations
289 Great Rd
Ste G1
Acton, MA 01720
Phone (978) 679-1200
270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905
64 Eldredge St
Newtonville, MA 02458
Phone (617) 969-4925
190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670
Organizations & group practices 2
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 Counselor
- Acton, MA
- NPI 1346560083
-
- Community/Behavioral Health Agency
- Norwood, MA
- NPI 1780791467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1023058419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 BEACON ST",
"address_2": "5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021161254",
"telephone_number": "617-388-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 CAMBRIDGE ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384302",
"telephone_number": "617-661-5515",
"fax_number": "617-661-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "IRINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "160200",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "160200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.