Racinmd LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

258205 Issued in MA

Legal business name

RACINMD LLC

Practice address

1180 Beacon St
Suite 7D
Brookline, MA 02446-3885

Phone

(617) 993-6100

Fax

(617) 993-6106

NPI assigned

Oct 20, 2014

Organization subpart

No

Name

Revital Racin, MDNPI 1790912905

Title

Psychiatrist

Phone

(617) 993-6100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Revital Rahel Racin, MD

  • Child & Adolescent Psychiatry Physician
  • Brookline, MA
  • NPI 1790912905

  Child & Adolescent Psychiatry

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2014.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1154725141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE 7D",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-993-6100",
            "fax_number": "617-993-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE 7D",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-993-6100",
            "fax_number": "617-993-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACINMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "RACIN",
        "authorized_official_first_name": "REVITAL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "617-993-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "258205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Mark Quinn, PHD
• Rebecca Judith Rabin
• Galina Rabkin, O.D.
• Jacob R Rachlin, M.D.
• Revital Rahel Racin, MD
• Joseph L Raduazzo, M.D.
• Sadeq Rahimi, M.SC., PH.D.
• Erica Raine, MSW
• Malka Raisz, PT
• Vijay Raj, DO

• All providers in Brookline, MA
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.