Alan Fisch, MD
Individual provider Active NPI Addiction Medicine (Psychiatry & Neurology) Physician · Cambridge, MA
NPI 1043239270 · NPPES record last updated Mar 3, 2015
Key facts
- NPI
- 1043239270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
- License
- 28176 (MA)
- Practice address
- 872 Massachusetts Ave.
Ste. 2-2, 2-7
Cambridge, MA 02139 - Phone
- (617) 395-5806
- Fax
- (617) 383-6404
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Tufts University School of Medicine, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Square Medical Group LLC
Practice addresses (Care Compare)
884 Washington St
FL1 Weymouth Primary Care and Counseling
Weymouth, MA 02189-1527
Phone (781) 812-1643
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061204000398 | MA | Practitioner - Psychiatry |
9931108883 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Square Medical Group LLC | Current |
Accepting new patients | |
| Preventive Medicine Associates | Past | Accepting new patients | |
| Brighton Family Practice, Inc | Past | Accepting new patients | |
| Thrive Counseling LLC | Past |
Accepting new patients | |
| North Suffolk Community Services Inc. | Past |
Accepting new patients |
Locations
884 Washington St
Fl 1
Weymouth, MA 02189
Phone (781) 812-1643
884 Washington St
Fl 2
Weymouth, MA 02189
Phone (617) 447-2146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 28176 | MA | Yes |
| Psychiatry Physician | 2084P0800X | 28176 | MA |
Addresses
Primary practice location
872 Massachusetts Ave.
Ste. 2-2, 2-7
Cambridge, MA 02139
Mailing address
1000 Jefferson St.
Ste. 2C
Lynchburg, VA 24504
Phone (617) 379-0496
Other providers in Cambridge, MA
- Heather Lynne Finnegan
- Firelight Acupuncture LLC
- Leigh M Firn
- Yudelki Marlin Firpo-Perretti
- First Impression Dental, PLLC
- David Fischer
- David S Fish
- Pamela Nelson Fish
- Avery Fisher
- Betsy Clark Fisher
All providers in Cambridge, MA · Addiction Medicine (Psychiatry & Neurology) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.