Active NPI
Kaveh Ghaedi, D.O.
- Psychiatry Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1014959
- Practice address
- 101 Arch St FL 8
Boston, MA 02110-7500 - Phone
- (707) 932-5616
- NPI assigned
- May 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1014959 | MA | Primary |
Addresses
Primary practice location
101 Arch St FL 8
Boston, MA 02110-7500
Mailing address
5321 1St Ave S
St Petersburg, FL 33707-6101
Phone (707) 932-5616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014959 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Windmoor Healthcare Inc | Psychiatry | Current | Accepting new patients |
| Professional Health Care of Pinellas LLC | Psychiatry | Current | Accepting new patients |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| Polymath Psychiatric Physicians, PLLC | Psychiatry | Current | Accepting new patients |
Locations
11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646
5321 1st Ave S
St Petersburg, FL 33707
Phone (707) 932-5616
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJHAA
- kaveh.ghaedi@xdr.hhchealthdirect.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
Psychiatry
-
- Psychiatry Physician
- St Petersburg, FL
- NPI 1275378044
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1235576224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 1ST AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337076101",
"telephone_number": "707-932-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ARCH ST FL 8",
"city": "BOSTON",
"state": "MA",
"postal_code": "021107500",
"telephone_number": "707-932-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAEDI",
"first_name": "KAVEH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "1014959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.