NPIMap

Individual provider Active NPI

Fida Hassan, M.D.

  • Child & Adolescent Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1235246802
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
230249 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-3562
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 230249 MA Primary
Psychiatry Physician 2084P0800X 230249 MA

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1066

Other identifiers 1

IdentifierTypeStateIssuer
110078514BMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000562 MA Practitioner - Psychiatry 1759351869 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seacoast Affiliated Group Practice IncGroup PAC ID 1658357843, 50 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 834-8074

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Aug 5, 2023 Accepting new patients
Cambridge Public Health Commission CurrentSince May 2, 2011 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Umass Memorial Medical Group Inc Psychiatry CurrentSince May 1, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince May 1, 2023 Accepting new patients
Cambridge Public Health Commission CurrentSince May 2, 2011 Accepting new patients
Devens Treatment & Recovery Center, LLC Psychiatry CurrentSince Sep 19, 2018 Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
Pathways, Inc Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
Umass Memorial Medical Center, Inc Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: fhassan448817@direct.bilh.masshiway.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1235246802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "019503867",
            "country_code": "US",
            "telephone_number": "978-463-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "FIDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "230249",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "230249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078514B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.