Raymond Robert Cavanaugh, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

48602 Issued in MA

Practice address

10 Federal St
Suite 408
Salem, MA 01970-3860

Phone

(978) 354-5021

Fax

(978) 354-5026

NPI assigned

Dec 2, 2005

Last updated

Feb 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1033193032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LONGVIEW DR",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451163",
            "telephone_number": "978-764-5807",
            "fax_number": "978-354-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FEDERAL ST",
            "address_2": "SUITE 408",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703860",
            "telephone_number": "978-354-5021",
            "fax_number": "978-354-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "RAYMOND",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "48602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157937",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Femie Mondia Catacata, RPT
• Kristine Marie Catalogna
• Justine Caton
• Amy Cavanagh, MSW
• Heidi Vega Cavanaugh, LICSW
• Fikreta Cefo
• Celestial Healing Counseling Center LLC
• Elizabeth M Chacko, CRNA, APRN
• Katharine Chamberlin, PNP
• Mony D Chan, NP

• Psychiatry Physician in Salem, MA
• Providers in Salem, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.