Active NPI
Angela C Utschig, PH.D.
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1033413141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- PSY-9266
- Practice address
- MGH Back Bay
388 Commonwealth Avenue
Boston, MA 02215 - Phone
- (617) 585-7487
- NPI assigned
- Jan 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PSY-9266 | MA | Primary |
Addresses
Primary practice location
MGH Back Bay
388 Commonwealth Avenue
Boston, MA 02215
Mailing address
MGH Back Bay
388 Commonwealth Avenue
Boston, MA 02215
Phone (617) 585-7487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9266 | MA | MD | Dentist |
| PSY-9266 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1033413141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MGH BACK BAY",
"address_2": "388 COMMONWEALTH AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-585-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MGH BACK BAY",
"address_2": "388 COMMONWEALTH AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-585-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTSCHIG",
"first_name": "ANGELA",
"middle_name": "C",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "PSY-9266",
"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 Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.