Active NPI
David R Gastfriend, M.D.
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1174562169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 49148
- Practice address
- 6 Liberty SQ Ste 2102
Boston, MA 02109-5800 - Phone
- (617) 283-6495
- NPI assigned
- Jun 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 49148 | MA | |
| Psychiatry Physician | 2084P0800X | 49148 | MA | Primary |
Addresses
Primary practice location
6 Liberty SQ Ste 2102
Boston, MA 02109-5800
Mailing address
8 Beach Plum LN
Wareham, MA 02571-2605
Phone (617) 283-6495
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49148 | MA | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1174562169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BEACH PLUM LN",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025712605",
"telephone_number": "617-283-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 LIBERTY SQ STE 2102",
"city": "BOSTON",
"state": "MA",
"postal_code": "021095800",
"telephone_number": "617-283-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTFRIEND",
"first_name": "DAVID",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MA",
"license": "49148",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "49148",
"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 Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.