Individual provider Active NPI

Joan Warrenski, MD

  • Psychiatry Physician
  • Roslindale, MA
National Provider Identifier
1215019773
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
60039 Issued in MA
Practice address
1200 Centre St
Department of Medicine
Roslindale, MA 02131-1011
Phone
(617) 363-8010
Fax
(617) 363-8929
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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 60039 MA Primary

Addresses

Primary practice location

1200 Centre St
Department of Medicine
Roslindale, MA 02131-1011

Mailing address

1200 Centre St
Department of Medicine
Roslindale, MA 02131-1011
Phone (617) 363-8010

Other identifiers 3

IdentifierTypeStateIssuer
V03643OtherMABLUE SHIELD
721592OtherMATUFTS HEALTH PLAN
3051188MedicaidMA

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
I20060320000518 MA Practitioner - Psychiatry 6002823879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60039MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Rehabilitation Center CurrentSince Sep 1, 2011 Accepting new patients
Hebrew Rehabilitation Center CurrentSince Sep 1, 2011 Accepting new patients
Newton-Wellesley Behavioral Medicine & Eating Disorders Past Accepting new patients
Newton-Wellesley Eating Disorders & Behavioral Medicine PastSince Feb 16, 2010 Accepting new patients

Locations

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

Interoperability endpoints

  • Direct secure messaging: jwarrenski317857@direct.bilh.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1215019773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311011",
            "telephone_number": "617-363-8010",
            "fax_number": "617-363-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311011",
            "telephone_number": "617-363-8010",
            "fax_number": "617-363-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRENSKI",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "60039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "V03643",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "721592",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051188",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

Verify at the official NPI Registry.