Doreen Karoll, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

73765 Issued in MA

Legal business name

DOREEN KAROLL, MD

Doing business as

Boston Developmental Pediatrics LLC

Practice address

32 South St
Suite 200
Waltham, MA 02453-3555

Phone

(781) 320-9680

Fax

(781) 780-5688

NPI assigned

Oct 31, 2014

Last updated

Dec 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Doreen P Karoll, MDNPI 1982609228

Title

Owner

Phone

(781) 549-7377

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Boston Developmental Pediatrics LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Doreen Karoll, MD

  • Developmental - Behavioral Pediatrics Physician
  • Waltham, MA
  • NPI 1982609228
  NPD (past) Authorized official

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1205231339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533555",
            "telephone_number": "781-320-9680",
            "fax_number": "781-780-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533555",
            "telephone_number": "781-320-9680",
            "fax_number": "781-780-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOREEN KAROLL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "KAROLL",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-549-7377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MA",
            "license": "73765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110051703A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J31710",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Developmental Pediatrics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice Diane Domar, PH.D.
• Mary Katherine Donahue
• Kristen Donlevie, OTD, OTR/L
• Bridget Kathleen Donovan, FNP-BC
• Margaret Christina Donovan
• Richard A Dornfeld, M.D.
• Matthew Dorsey, PT, DPT
• Julee Marie Douglass, LADCII
• Dove Hospice of Massachusetts LLC
• Renee N Downes-Gilkes, CCC-SLP CEIS

• Developmental - Behavioral Pediatrics Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Developmental - Behavioral Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.