Individual provider Active NPI

William Charles Olcott

  • Psychiatry Physician
  • Middleboro, MA
National Provider Identifier
1114414828
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
289465 Issued in MA
Practice address
23 Isaac St
Middleboro, MA 02346-2080
Phone
(774) 419-1169
NPI assigned
Apr 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 289465 MA Primary

Addresses

Primary practice location

23 Isaac St
Middleboro, MA 02346-2080

Mailing address

23 Isaac St
Middleboro, MA 02346-2080
Phone (774) 419-1169

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
I20220713002509 MA Practitioner - Psychiatry 6204217888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
The McLean Hospital CorporationGroup PAC ID 9436040961, 186 clinicians
North End Community Health Committee, Inc.Group PAC ID 8224043971, 56 clinicians

Practice addresses (Care Compare)

23 Isaac St
Middleboro, MA 02346-2080
Phone (774) 419-1000

332 Hanover Sreet
Boston, MA 02113-1901

332 Hanover St
Boston, MA 02113-1901
Phone (617) 643-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation Psychiatry CurrentSince Aug 8, 2022 Accepting new patients
North End Community Health Committee Inc CurrentSince May 21, 2024 Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

940 Belmont St
Brockton, MA 02301
Phone (774) 826-1106

15 Tufts St
Charlestown, MA 02129
Phone (857) 238-1100

23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000

Interoperability endpoints

  • Direct secure messaging: olcott.william.mcl@direct.partners.masshiway.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1114414828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ISAAC ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462080",
            "telephone_number": "774-419-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ISAAC ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462080",
            "telephone_number": "774-419-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLCOTT",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "289465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

Verify at the official NPI Registry.