Active NPI
Carrie Anne Hoyt Vaudreuil, MD
- Student in an Organized Health Care Education/Training Program
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 55 Fruit St
Department of Child Psychiatry, Yawkey 6a
Boston, MA 02114-2621 - Phone
- (617) 643-6270
- Fax
- (617) 726-5567
- NPI assigned
- Mar 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 253393 | MA | |
| Psychiatry Physician | 2084P0800X | 253393 | MA |
Addresses
Primary practice location
55 Fruit St
Department of Child Psychiatry, Yawkey 6a
Boston, MA 02114-2621
Mailing address
55 Fruit St
Department of Child Psychiatry, Yawkey 6a
Boston, MA 02114-2621
Phone (617) 643-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253393 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Psychiatry | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Psychiatry | Current | Accepting new patients |
| North End Community Health Committee Inc | Current | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
332 Hanover St
Boston, MA 02113
Phone (617) 643-8000
55 Fruit St
#6A
Boston, MA 02114
Phone (617) 724-7308
Organizations & group practices 4
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Psychiatry
-
- Public Health & General Preventive Medicine Physician
- Boston, MA
- NPI 1780606608
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Psychiatry Physician
- Belmont, MA
- NPI 1114979580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428710400000",
"number": "1134443039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "DEPARTMENT OF CHILD PSYCHIATRY, YAWKEY 6A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-643-6270",
"fax_number": "617-726-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "DEPARTMENT OF CHILD PSYCHIATRY, YAWKEY 6A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-643-6270",
"fax_number": "617-726-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUDREUIL",
"first_name": "CARRIE",
"middle_name": "ANNE HOYT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-21",
"last_updated": "2015-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "253393",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "253393",
"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 Apr 11, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.