Individual provider Active NPI

David L Stormberg, M.D.

  • Psychiatry Physician
  • Needham, MA
National Provider Identifier
1194765628
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
70503 Issued in MA
Practice address
105 Chestnut St
Suite 14
Needham, MA 02492-2520
Phone
(781) 449-0094
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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 70503 MA Primary

Addresses

Primary practice location

105 Chestnut St
Suite 14
Needham, MA 02492-2520

Mailing address

105 Chestnut St
Suite 14
Needham, MA 02492-2520
Phone (781) 449-0094

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
I20051105000090 MA Practitioner - Psychiatry 6800814146 Practice locations: Needham, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Columbia University College of Physicians and Surgeons, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Chestnut St
Needham, MA 02492-2520
Phone (781) 449-0094

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: david.stormberg@direct.drstormberg.masshiway.net

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1194765628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "address_2": "SUITE 14",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922520",
            "telephone_number": "781-449-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "address_2": "SUITE 14",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922520",
            "telephone_number": "781-449-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMBERG",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "70503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.