Individual provider Active NPI

Paul Y Yin, M.D.

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1245330570
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43947 Issued in MA
Practice address
145 South St
Boston, MA 02111-2826
Phone
(617) 521-6730
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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 43947 MA Primary

Addresses

Primary practice location

145 South St
Boston, MA 02111-2826

Mailing address

227 Linwood Ave
Newtonville, MA 02460-1457
Phone (617) 964-6518

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
I20051116000612 MA Practitioner - Psychiatry 7012936354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 S St
Boston, MA 02111-2826
Phone (617) 521-6700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Cove Community Health Center, Inc. CurrentSince Oct 1, 2010 Accepting new patients
South Cove Community Health Center, Inc. CurrentSince Oct 1, 2010 Accepting new patients
South Cove Community Health Center, Inc. Past Accepting new patients

Locations

145 South St
Boston, MA 02111
Phone (617) 521-6700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEJEAA
  • Direct secure messaging: paul.yin@scchc.eclinicaldirectplus.com

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1245330570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LINWOOD AVE",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601457",
            "telephone_number": "617-964-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112826",
            "telephone_number": "617-521-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIN",
        "first_name": "PAUL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "43947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.