Active NPI
Eduardo Yosi Zaidner, M.D.
- Psychiatry Physician
- Cambridge, MA
National Provider Identifier
1205844362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 225421
- Practice address
- 1611 Cambridge St
Behavioral Health
Cambridge, MA 02138-4302 - Phone
- (617) 661-5515
- Fax
- (617) 661-5182
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 225421 | MA | Primary |
Addresses
Primary practice location
1611 Cambridge St
Behavioral Health
Cambridge, MA 02138-4302
Mailing address
1611 Cambridge St
Behavioral Health
Cambridge, MA 02138-4302
Phone (617) 661-5515
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 |
|---|---|---|---|
| 225421 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zaidner Psychiatric LLC | Psychiatry | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Boston, MA
- NPI 1073234290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1205844362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 CAMBRIDGE ST",
"address_2": "BEHAVIORAL HEALTH",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384302",
"telephone_number": "617-661-5515",
"fax_number": "617-661-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 CAMBRIDGE ST",
"address_2": "BEHAVIORAL HEALTH",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384302",
"telephone_number": "617-661-5515",
"fax_number": "617-661-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAIDNER",
"first_name": "EDUARDO",
"middle_name": "YOSI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "225421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.