Individual provider Active NPI

Ujala Fawad, M.D.

  • Psychiatry Physician
  • Norwood, MA
National Provider Identifier
1063662112
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
250484 Issued in MA
Practice address
1500 Boston Providence Tpke Ste 20
Norwood, MA 02062-4649
Phone
(508) 206-8578
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 250484 MA Primary
Psychiatry Physician 2084P0800X MD14383 RI
Psychiatry Physician 2084P0800X TPME303 FL

Addresses

Primary practice location

1500 Boston Providence Tpke Ste 20
Norwood, MA 02062-4649

Mailing address

1500 Boston Providence Tpke Ste 20
Norwood, MA 02062-4649
Phone (508) 206-8578

Other practice location 1

195 Worcester St Ste 303
Wellesley, MA 02481-5568
Phone (508) 206-8578

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
I20121228000193 MA Practitioner - PsychiatryPractitioner - Addiction Medicine 9335392224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Harvard Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Psychiatric Specialists PCGroup PAC ID 1557764545, 4 clinicians

Practice addresses (Care Compare)

1500 Boston Providence Tpke
Suite 20
Norwood, MA 02062-4649
Phone (508) 205-9628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TPME303FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Psychiatric Specialists PC Psychiatry CurrentSince Jun 29, 2025 Accepting new patients
Suburban Psychiatric Specialists PC Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
The Providence Center Psychiatry Past Accepting new patients

Locations

1500 Boston Providence Tpke
Ste 20
Norwood, MA 02062
Phone (508) 205-9628

1500 Providence Hwy
Ste 22B
Norwood, MA 02062
Phone (508) 205-9628

195 Worcester St
Ste 303
Wellesley, MA 02481
Phone (508) 206-8578

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1063662112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BOSTON PROVIDENCE TPKE STE 20",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624649",
            "telephone_number": "508-206-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BOSTON PROVIDENCE TPKE STE 20",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624649",
            "telephone_number": "508-206-8578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Worcester St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024815568",
            "country_code": "US",
            "telephone_number": "508-206-8578",
            "fax_number": "866-470-6528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAWAD",
        "first_name": "UJALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "250484",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD14383",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TPME303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.