Individual provider Active NPI

Donald Meyer, MD

  • Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1104869759
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39579 Issued in MA
Practice address
1105 Massachusetts Ave
Suite 11E
Cambridge, MA 02138-5220
Phone
(617) 491-6868
Fax
(978) 392-8417
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 39579 MA Primary

Addresses

Primary practice location

1105 Massachusetts Ave
Suite 11E
Cambridge, MA 02138-5220

Mailing address

1105 Massachusetts Ave
Suite 11E
Cambridge, MA 02138-5220
Phone (617) 491-6868

Other identifiers 2

IdentifierTypeStateIssuer
A02081OtherMABLUE CROSS BLUE SHIELD
716285OtherMATUFTS HEALTH PLAN

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
I20051202000411 MA Practitioner - Psychiatry 9335169549 Reassigns benefits to 1 organization
Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1105 Massachusetts Ave
Cambridge, MA 02138-5224
Phone (617) 491-6868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39579MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald J Meyer MD Psychiatry CurrentSince Sep 28, 2025 Accepting new patients
Mount Auburn Hospital CurrentSince Apr 29, 2013 Accepting new patients

Locations

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

1105 Massachusetts Ave
Apt 11E
Cambridge, MA 02138
Phone (617) 491-5050

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1104869759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE",
            "address_2": "SUITE 11E",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385220",
            "telephone_number": "617-491-6868",
            "fax_number": "978-392-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE",
            "address_2": "SUITE 11E",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385220",
            "telephone_number": "617-491-6868",
            "fax_number": "978-392-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "39579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "A02081",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "716285",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.