Organization Active NPI

Zaidner Psychiatric LLC

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1073234290
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ZAIDNER PSYCHIATRIC LLC
Practice address
20 Park PLZ # 400-12
Boston, MA 02116-4303
Phone
(617) 948-2104
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Eduardo Yosi Zaidner, MDNPI 1205844362
Title
Psychiatrist
Phone
(305) 788-4429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

20 Park PLZ # 400-12
Boston, MA 02116-4303

Mailing address

20 Park PLZ # 400-12
Boston, MA 02116-4303
Phone (617) 948-2104

National Provider Directory

National Provider Directory

Locations

20 Park Plz
#40012
Boston, MA 02116
Phone (617) 948-2104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1073234290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK PLZ # 400-12",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164303",
            "telephone_number": "617-948-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK PLZ # 400-12",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164303",
            "telephone_number": "617-948-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAIDNER PSYCHIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "ZAIDNER",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "YOSI",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "305-788-4429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.