Active NPI
Lynn Ruth Grush, MD
- Child & Adolescent Psychiatry Physician
- Newton Center, MA
National Provider Identifier
1245205053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 76631
- Practice address
- 1340 Centre St
Ste 204
Newton Center, MA 02459 - Phone
- (617) 795-7130
- Fax
- (617) 795-0953
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 76631 | MA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 76631 | MA | Primary |
Addresses
Primary practice location
1340 Centre St
Ste 204
Newton Center, MA 02459
Mailing address
1340 Centre St Ste 204
Newton Centre, MA 02459-2453
Phone (617) 795-7130
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3182509 | Medicaid | MA | |
| J19237 | Other | MA | BCBS MA |
| 760741 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Care Therapy Partners | Past | Accepting new patients |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Newton Centre, MA
- NPI 1306716311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1245205053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CENTRE ST STE 204",
"city": "NEWTON CENTRE",
"state": "MA",
"postal_code": "024592453",
"telephone_number": "617-795-7130",
"fax_number": "617-795-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 CENTRE ST",
"address_2": "STE 204",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "02459",
"telephone_number": "617-795-7130",
"fax_number": "617-795-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUSH",
"first_name": "LYNN",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "76631",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "76631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3182509",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J19237",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "760741",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.