Individual provider Active NPI

Zelda Videlefsky, M.D.

  • Psychiatry Physician
  • Brighton, MA
National Provider Identifier
1225075278
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
151353 Issued in MA
Practice address
30 Warren St
Franciscanchildren'S Hosp
Brighton, MA 02135-3602
Phone
(617) 254-3800
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 151353 MA Primary

Addresses

Primary practice location

30 Warren St
Franciscanchildren'S Hosp
Brighton, MA 02135-3602

Mailing address

555 Amory St
Ste #4
Jamaica Plain, MA 02130-2652
Phone (617) 524-1120

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
I20080403000230 MA Practitioner - Psychiatry 7517044316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arbour IncGroup PAC ID 6800975574, 19 clinicians

Practice addresses (Care Compare)

157 Green St
Jamaica Plain, MA 02130-2667
Phone (617) 390-1362

49 Robinwood Ave
Boston, MA 02130-2156
Phone (617) 522-4400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Inc Psychiatry CurrentSince Sep 1, 2010 Accepting new patients
Arbour Inc CurrentSince Sep 1, 2010 Accepting new patients
Arbour Counseling Services Past Accepting new patients

Locations

555 Armory St
Ste 4
Jamaica Plain, MA 02130
Phone (617) 524-1120

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1225075278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AMORY ST",
            "address_2": "STE #4",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302652",
            "telephone_number": "617-524-1120",
            "fax_number": "617-524-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN ST",
            "address_2": "FRANCISCANCHILDREN'S HOSP",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353602",
            "telephone_number": "617-254-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDELEFSKY",
        "first_name": "ZELDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "151353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.