Active NPI
Michael Joshua Ostacher, MD
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1093789083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 72605
- Practice address
- 50 Staniford St Ste 580
Massachusetts General Hospital
Boston, MA 02114-2540 - Phone
- (617) 726-5258
- Fax
- (617) 726-6768
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 72605 | MA | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 72605 | MA | |
| Psychiatry Physician | 2084P0800X | 72605 | MA | Primary |
Addresses
Primary practice location
50 Staniford St Ste 580
Massachusetts General Hospital
Boston, MA 02114-2540
Mailing address
PO Box 9142
Mass. General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 724-0287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311 08 42 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72605 | MA | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1093789083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9142",
"address_2": "MASS. GENERAL PHYSICIAN ORGANIZATION",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-724-0287",
"fax_number": "617-726-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STANIFORD ST STE 580",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142540",
"telephone_number": "617-726-5258",
"fax_number": "617-726-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTACHER",
"first_name": "MICHAEL",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MA",
"license": "72605",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MA",
"license": "72605",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "72605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311 08 42",
"state": "MA"
}
],
"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 May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.