Active NPI
Susan Botsford Workum, MD
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1275599938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 38743
- Practice address
- 221 Longwood Avenue
Brigham and Womens Hospital Psychiatry Department
Boston, MA 02115 - Phone
- (617) 732-6753
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 38743 | MA | Primary |
Addresses
Primary practice location
221 Longwood Avenue
Brigham and Womens Hospital Psychiatry Department
Boston, MA 02115
Mailing address
111 Cypress St
Brigham and Womens Physicians Organization
Brookline, MA 02445
Phone (617) 582-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 8, 2017 through Mar 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38743 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275599938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"address_2": "BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-582-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 LONGWOOD AVENUE",
"address_2": "BRIGHAM AND WOMENS HOSPITAL PSYCHIATRY DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-6753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKUM",
"first_name": "SUSAN",
"middle_name": "BOTSFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "38743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.