Individual provider Active NPI

Arshya B. Vahabzadeh, M.D

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1154637403
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A135155 Issued in CA
Practice address
MGH/Harvard
Boston, MA 02114
Phone
(404) 857-7179
NPI assigned
Aug 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 254486 MA
Psychiatry Physician 2084P0800X A135155 CA Primary

Addresses

Primary practice location

MGH/Harvard
Boston, MA 02114

Mailing address

139A Charles St Ste 222
Boston, MA 02114-3252
Phone (404) 857-7179

Other practice location 1

17412 Ventura Blvd. #1000
Orbit Health
Encino, CA 91316
Phone (404) 857-7179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135155CAMDPsychiatry Physician
254486MAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1154637403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139A CHARLES ST STE 222",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143252",
            "telephone_number": "404-857-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MGH/HARVARD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "404-857-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17412 Ventura Blvd. #1000",
            "address_2": "Orbit Health",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "91316",
            "country_code": "US",
            "telephone_number": "404-857-7179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHABZADEH",
        "first_name": "ARSHYA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "254486",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A135155",
            "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 Apr 17, 2019; 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.