Stephanie Fosbenner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

278714 Issued in MA

Practice address

1493 Cambridge St
Cambridge, MA 02139-1047

Phone

(267) 374-6747

NPI assigned

Apr 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfosbenner96994@direct.challiance.masshiway.net
• Direct secure messaging: sfosbennermd@org194.direct.charmhealth.com
• Direct secure messaging: stephanie.fosbenner.1@22231.direct.athenahealth.com

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.

• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  Medicare reassignment NPD
• Stephanie Fosbenner MD

  • Psychiatry Physician
  • Arlington, MA
  • NPI 1790504876
  NPD Authorized official
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  NPD
• Cambridge Public Health Commission

  • Psychiatric Hospital Unit
  • Cambridge, MA
  • NPI 1447348313
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1255794699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WALDEN ST UNIT 405",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021386742",
            "telephone_number": "267-374-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "267-374-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBENNER",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "278714",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Formicola
• Elizabeth Forrest, PSY.D.
• Avery Forrow, MD
• Marshall Forstein, MD
• Mayte Forte, PH.D.
• Magdalena J. Fosse, M.A., M.S., PSYD
• Caitlin Foster, MD, MSC
• Rosalie A Foster, PTA
• Foundation Medicine, Inc.
• Linda Ann Fournier, RN

• Psychiatry Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.

Verify at the official NPI Registry.