Individual provider Active NPI

Maite Adriana Cintron Pastrana, MD

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1225539513
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
285206 Issued in MA
Practice address
55 Lake Ave N
Psychiatry Department
Worcester, MA 01605-0160
Phone
(508) 801-9482
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 6141861 PR
Psychiatry Physician 2084P0800X 285206 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Psychiatry Department
Worcester, MA 01605-0160

Mailing address

55 Lake Ave N
Psychiatry Department
Worcester, MA 01605-6604
Phone (787) 404-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250811002983 NY Practitioner - Psychiatry 2961822184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villa of HopeGroup PAC ID 0840580387, 6 clinicians

Practice addresses (Care Compare)

247 N Goodman St
Rochester, NY 14607-1168
Phone (585) 627-5892

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285206MAMDPsychiatry Physician
6141861PRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Villa of Hope CurrentSince Jul 28, 2025 Accepting new patients

Locations

3300 Dewey Ave
Rochester, NY 14616
Phone (585) 865-1550

247 N Goodman St
Rochester, NY 14607
Phone (585) 627-5892

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.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1225539513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "PSYCHIATRY DEPARTMENT",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016056604",
            "telephone_number": "787-404-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "PSYCHIATRY DEPARTMENT",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016050160",
            "telephone_number": "508-801-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON PASTRANA",
        "first_name": "MAITE",
        "middle_name": "ADRIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "6141861",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "285206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.