Individual provider Active NPI

Guy Maytal, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1215918156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
220694 Issued in MA
Practice address
15 Parkman St
Wang Acc 812
Boston, MA 02114-3117
Phone
(617) 724-6300
Fax
(671) 186-7541
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 220694 MA Primary

Addresses

Primary practice location

15 Parkman St
Wang Acc 812
Boston, MA 02114-3117

Mailing address

15 Parkman St
Wang Acc 812
Boston, MA 02114-3117
Phone (617) 724-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180510000346 NY Practitioner - PsychiatryPractitioner - Internal Medicine 5799739702 Reassigns benefits to 3 organizations
I20260310000513 PA Practitioner - Psychiatry 5799739702 Reassigns benefits to 1 organization
I20260406000530 NJ Practitioner - Psychiatry 5799739702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Johns Hopkins University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians
Forge Medical Group, LLCGroup PAC ID 5597163949, shared by 3 NPIs, 35 clinicians

Practice addresses (Care Compare)

156 William St
New York, NY 10038-2609
Phone (646) 962-6647

40 Huff Ave Ext
Greensburg, PA 15601-5484
Phone (724) 836-3960

525 E 68TH St
New York, NY 10065-4870
Phone (914) 682-9100

9520 63Rd Rd
Suite K
Rego Park, NY 11374-1145
Phone (718) 814-7600

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220694MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC Psychiatry CurrentSince Dec 2, 2024 Accepting new patients
The New York and Presbyterian Hospital CurrentSince May 1, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince May 1, 2018 Accepting new patients
Forge Medical Group, LLC Psychiatry CurrentSince Jan 12, 2026 Accepting new patients
Weill Medical College of Cornell CurrentSince May 1, 2018 Accepting new patients
The New York and Presbyterian Hospital CurrentSince May 1, 2018 Accepting new patients

Locations

156 William St
New York, NY 10038
Phone (646) 962-4679

9520 63rd Rd
Ste K
Rego Park, NY 11374
Phone (718) 814-7600

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

1133 Westchester Ave
Ste N-006
White Plains, NY 10604
Phone (914) 539-7600

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960

Interoperability endpoints

  • Direct secure messaging: gum9023@direct.nyp.org

Organizations & group practices 7

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 5

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215918156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WANG ACC 812",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-724-6300",
            "fax_number": "671-186-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WANG ACC 812",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-724-6300",
            "fax_number": "671-186-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYTAL",
        "first_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "220694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.