Individual provider Active NPI

Roberta S. Isberg, M.D.

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1043255532
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45037 Issued in MA
Practice address
1330 Beacon St
Suite 254
Brookline, MA 02446-3282
Phone
(617) 731-3422
Fax
(617) 731-3228
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 45037 MA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 45037 MA

Addresses

Primary practice location

1330 Beacon St
Suite 254
Brookline, MA 02446-3282

Mailing address

1330 Beacon St
Suite 254
Brookline, MA 02446-3282
Phone (617) 731-3422

Other identifiers 2

IdentifierTypeStateIssuer
727314OtherMATUFTS HEALTH PLAN
B11695OtherMABLUE 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
I20060123000470 MA Practitioner - Psychiatry 1052335650 Practice locations: Brookline, MA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Two Brattle Center, P.C. Psychiatry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: risberg29579@direct.bostonchildrens.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1043255532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BEACON ST",
            "address_2": "SUITE 254",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463282",
            "telephone_number": "617-731-3422",
            "fax_number": "617-731-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BEACON ST",
            "address_2": "SUITE 254",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463282",
            "telephone_number": "617-731-3422",
            "fax_number": "617-731-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISBERG",
        "first_name": "ROBERTA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "45037",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "45037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "727314",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B11695",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.