Individual provider Active NPI

Grigoriy I Labun, M.D.

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1144252685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
229133 Issued in MA
Practice address
Tufts-New England Medial Center
750 Washington Street
Boston, MA 02111
Phone
(617) 636-5000
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 229133 MA Primary

Addresses

Primary practice location

Tufts-New England Medial Center
750 Washington Street
Boston, MA 02111

Mailing address

50-56 Broadlawn Park
Apt# 205
Chestnut Hill, MA 02467-3500
Phone (617) 636-5000

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
I20060914000235 MA Practitioner - Psychiatry 8325042864 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Square Medical Group LLCGroup PAC ID 6608991187, 16 clinicians

Practice addresses (Care Compare)

884 Washington St
FL1 Weymouth Primary Care and Counseling
Weymouth, MA 02189-1527
Phone (781) 812-1643

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Square Medical Group LLC CurrentSince Aug 1, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 1, 2014 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Feb 10, 2013 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Dec 16, 2008 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Dec 16, 2008 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Feb 10, 2013 Accepting new patients

Locations

25 Staniford St
Boston, MA 02114
Phone (617) 626-8500

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

85 Newton St
Boston, MA 02118
Phone (617) 305-9960

750 Washington St
Boston, MA 02111
Phone (617) 636-4600

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

246 Walnut St
Ste 104
Newtonville, MA 02460
Phone 6172443322104

150 York St
Stoughton, MA 02072
Phone (781) 297-1101

365 East St
Tewksbury, MA 01876
Phone (617) 536-2186

884 Washington St
Fl 2
Weymouth, MA 02189
Phone (617) 447-2146

884 Washington St
Fl 1
Weymouth, MA 02189
Phone (781) 812-1643

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144252685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50-56 BROADLAWN PARK",
            "address_2": "APT# 205",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673500",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUFTS-NEW ENGLAND MEDIAL CENTER",
            "address_2": "750 WASHINGTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABUN",
        "first_name": "GRIGORIY",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "229133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.