Individual provider Active NPI

Gillian Katz-Wies, M.D.

  • Psychiatry Physician
  • Newton Center, MA
National Provider Identifier
1023078839
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
153636 Issued in MA
Practice address
93 Union St Ste 303a
Newton Center, MA 02459-2241
Phone
(617) 796-9100
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 153636 MA Primary

Addresses

Primary practice location

93 Union St Ste 303a
Newton Center, MA 02459-2241

Mailing address

93 Union St Ste 303a
Newton Center, MA 02459-2241
Phone (617) 796-9100

Other identifiers 1

IdentifierTypeStateIssuer
M18517OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060803000134 MA Practitioner - Psychiatry 1254344591 Practice locations: Newton, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

93 Union St
Suite 303a
Newton, MA 02459-2241
Phone (617) 796-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153636MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Psychiatry Associates, Inc. Psychiatry PastSince Aug 8, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1023078839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 UNION ST STE 303A",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592241",
            "telephone_number": "617-796-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST STE 303A",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592241",
            "telephone_number": "617-796-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ-WIES",
        "first_name": "GILLIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "153636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M18517",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

Verify at the official NPI Registry.