Kenneth C Potts, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

54708 Issued in MA

Practice address

1153 Centre St
Jamaica Plain, MA 02130-3446

Phone

(617) 983-7926

Fax

(617) 983-7455

NPI assigned

Nov 17, 2006

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 2

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043384514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CABOT RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7926",
            "fax_number": "617-983-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "54708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN ID",
            "identifier": "700342",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "JO5685",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasa Popovic, PHARMD
• Jillian Portuese
• Positive Approaches Counseling & Multi-Services Center, Inc.
• Diana Ellen Post, MD
• Margaret Potter, LCSW
• Ekaterini Poulakos, APRN,BC
• Nicole Marie Powell
• Meredith Powers-Lupo, MSW, LICSW
• Christine Powers, MSW, LICSW
• Heather Powers, LMHC

• Psychiatry Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.