Organization Active NPI

Paul Summergrad MD PLLC

  • Psychiatry Physician
  • Newton, MA
National Provider Identifier
1275462962
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PAUL SUMMERGRAD MD PLLC
Practice address
37 Crystal St
Newton, MA 02459-2134
Phone
(617) 916-1179
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Paul SummergradNPI 1720199821
Title
MD
Phone
(617) 916-1179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

37 Crystal St
Newton, MA 02459-2134

Mailing address

35 United Dr Ste 102
West Bridgewater, MA 02379-1056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260624002635 MA Part B Supplier - Clinic/Group Practice 8527531219 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1275462962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CRYSTAL ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592134",
            "telephone_number": "617-916-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL SUMMERGRAD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SUMMERGRAD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "617-916-1179"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.