Active NPI
Philip D Altekruse, M.D.
- Psychiatry Physician
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 57260
- Practice address
- 859 Willard St
Suite 430
Quincy, MA 02169-7482 - Phone
- (617) 847-1950
- Fax
- (617) 774-1490
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 57260 | MA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 57260 | MA |
Addresses
Primary practice location
859 Willard St
Suite 430
Quincy, MA 02169-7482
Mailing address
19 Longfellow Rd
Cambridge, MA 02138-4737
Phone (617) 576-0699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y02415 | Other | MA | BLUE CROSS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Mental Health Center, Inc. | Current | Accepting new patients | |
| Riverside Community Care, Inc. | Current | Accepting new patients |
Locations
1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709
270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 564-8799
190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670
500 Victory Rd
Quincy, MA 02171
Phone (617) 774-1040
859 Willard St
Ste 430
Quincy, MA 02169
Phone (617) 847-1909
Interoperability endpoints
- philipaltekruse@ssmh.netsmartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Norwood, MA
- NPI 1780791467
-
dba Aspire Health Alliance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Quincy, MA
- NPI 1770528317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1255354049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LONGFELLOW RD",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384737",
"telephone_number": "617-576-0699",
"fax_number": "617-774-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 WILLARD ST",
"address_2": "SUITE 430",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697482",
"telephone_number": "617-847-1950",
"fax_number": "617-774-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTEKRUSE",
"first_name": "PHILIP",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "57260",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "57260",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y02415",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.