Active NPI
Faraz Modirian, DO
- Psychiatry Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1023547
- Practice address
- 1 Boston Medical Ctr PL Ste 1
Boston, MA 02118-2999 - Phone
- (617) 638-8000
- NPI assigned
- Mar 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1023547 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1 Boston Medical Ctr PL Ste 1
Boston, MA 02118-2999
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Other practice location 1
736 Cambridge St Fl 2
Brighton, MA 02135-2907
Phone (617) 789-2102
Other practice location 2
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7228 ext. 15268
Other practice location 3
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551
Salem Hospital Medical Staff Office
81 Highland Ave Wheelock 6
Salem, MA 01970-2714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023547 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Newton Wellesley Hospital | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
Interoperability endpoints
- modirian.faraz.nwh@direct.partners.masshiway.net
- fmodirian172934@direct.bmc.masshiway.net
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Psychiatry
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- General Acute Care Hospital
- Newton, MA
- NPI 1952845521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1114677887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CTR PL STE 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182999",
"telephone_number": "617-638-8000"
}
],
"practiceLocations": [
{
"address_1": "736 Cambridge St Fl 2",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021352907",
"country_code": "US",
"telephone_number": "617-789-2102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7228 x15268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 N Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023011794",
"country_code": "US",
"telephone_number": "508-427-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODIRIAN",
"first_name": "FARAZ",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "1023547",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.