Active NPI
George S. Klavens, M.D.
- Psychoanalyst
- Brookline, MA
National Provider Identifier
1144405010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 79467
- Practice address
- 1501 Beacon St
Suite 7 West
Brookline, MA 02446-4626 - Phone
- (617) 731-4884
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 79467 | MA | Primary |
Addresses
Primary practice location
1501 Beacon St
Suite 7 West
Brookline, MA 02446-4626
Mailing address
1501 Beacon St
Suite 7 West
Brookline, MA 02446-4626
Phone (617) 731-4884
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060509000098 | MA | Practitioner - Psychiatry | 1658382486 | Practice locations: Dedham, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4416 Great Meadow Rd
Dedham, MA 02026-4081
Phone (617) 733-9262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79467 | MA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1144405010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 BEACON ST",
"address_2": "SUITE 7 WEST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464626",
"telephone_number": "617-731-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 BEACON ST",
"address_2": "SUITE 7 WEST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464626",
"telephone_number": "617-731-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAVENS",
"first_name": "GEORGE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "MA",
"license": "79467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.