NPIMap

Organization Active NPI

Suburban Psychiatric Specialists PC

  • Psychiatry Physician
  • Norwood, MA
National Provider Identifier
1073374534
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUBURBAN PSYCHIATRIC SPECIALISTS PC
Practice address
1500 Boston Providence Tpke Ste 20
Norwood, MA 02062-4649
Phone
(508) 206-8578
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Ujala Fawad, MDNPI 1063662112
Title
President
Phone
(508) 206-8578

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Psychosomatic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0015X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

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

National Provider Directory

National Provider Directory
Tax ID family
Suburban Psychiatric Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1073374534",
    "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": [],
    "basic": {
        "organization_name": "SUBURBAN PSYCHIATRIC SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "FAWAD",
        "authorized_official_first_name": "UJALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-206-8578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.