Topaz Medical Group PA
Organization Active NPI Psychiatry Physician · Boston, MA
NPI 1053287201 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1053287201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- TOPAZ MEDICAL GROUP PA
- Practice address
- 1 Washington Mall # 1341
Boston, MA 02108-2616 - Phone
- (877) 445-1587
- Fax
- (800) 754-3650
- NPI assigned
- Oct 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Saba Haq, MD
- Title
- President
- Phone
- (949) 463-0650
Practitioners 18
-
Saba Haq, MD
-
Monica Rios, LPC
-
Delphine Fru, APRN, PMHNP-BC
-
Amy C. Gallagher, PSY.D.
-
Sage C Gardner, LMSW
-
David G. Hayden, LPC, CAS
-
Martha A Katz, LCSW
-
Jacqueline Levine, LCSW
-
Julie C Lopez, LMSW
-
Nina Karol Pierre, LCSW, CASAC MC
-
Tiffany Roberts, NP
-
Kim M Schepart, LCSW-R
-
Mikko Dane Viudez, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260211003486 | FL | Part B Supplier - Clinic/Group Practice | 6507345204 |
Receives reassigned benefits from 2 practitioners Practice locations: Saint Cloud, FL |
| O20260401000793 | MI | Part B Supplier - Clinic/Group Practice | 6507345204 |
Receives reassigned benefits from 4 practitioners Practice locations: Dearborn, MI |
National Provider Directory
Locations
6530 Greenfield Rd
Ste 500
Dearborn, MI 48126
Phone (313) 644-1022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | |||
| Psychiatry Physician |
2084P0800X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
1 Washington Mall # 1341
Boston, MA 02108-2616
Mailing address
1 Washington Mall # 1341
Boston, MA 02108-2616
Phone (877) 445-1587
Other providers in Boston, MA
- Joseph F Toomey III
- Vanessa Toomey
- Alireza Toossi
- Top Therapy, Inc.
- Ali Kemal Topaloglu
- Topaz Medical of New York PC
- Pritesh S Topiwala
- Ved Vijaykumar Topkar
- Joann Gotingco Toporowski
- Trexler M Topping
All providers in Boston, MA · Psychiatry 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 Oct 15, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.