Organization Active NPI

Sparsha S Reddy MD PLLC

  • Adult Mental Health Clinic/Center
  • Boston, MA
National Provider Identifier
1114561776
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SPARSHA S REDDY MD PLLC
Practice address
143 Newbury St Ste 4
Boston, MA 02116-2925
Phone
(617) 404-9735
NPI assigned
Nov 6, 2019
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Sparsha Reddy, MDNPI 1376706226
Title
Business Owner
Phone
(617) 404-9735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

143 Newbury St Ste 4
Boston, MA 02116-2925

Mailing address

143 Newbury St Ste 4
Boston, MA 02116-2925
Phone (617) 404-9735

National Provider Directory

National Provider Directory

Locations

143 Newbury St
Ste 4
Boston, MA 02116
Phone (617) 404-9735

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1114561776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 NEWBURY ST STE 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162925",
            "telephone_number": "617-404-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NEWBURY ST STE 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162925",
            "telephone_number": "617-404-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARSHA S REDDY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-01-21",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SPARSHA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "617-404-9735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Jan 21, 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.