Active NPI
Raymond F Colella, MD
- Psychiatry Physician
- Braintree, MA
National Provider Identifier
1285600734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 59938
- Practice address
- 340 Wood Rd
Suite 306
Braintree, MA 02184 - Phone
- (781) 794-2300
- Fax
- (781) 794-2215
- NPI assigned
- Feb 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 59938 | MA | Primary |
Addresses
Primary practice location
340 Wood Rd
Suite 306
Braintree, MA 02184
Mailing address
340 Wood Rd
Suite 306
Braintree, MA 02184
Phone (781) 794-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J07932 | Other | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Hills Counseling & Psychiatric Associates PC | Psychiatry | Past | Accepting new patients |
| Nova Psychiatric Service | Past | Accepting new patients | |
| Northeast Behavioral Health Corporation | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Braintree, MA
- NPI 1710954888
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beverly, MA
- NPI 1154302586
-
- Psychologist
- Quincy, MA
- NPI 1598838781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1285600734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 WOOD RD",
"address_2": "SUITE 306",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-794-2300",
"fax_number": "781-794-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 WOOD RD",
"address_2": "SUITE 306",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-794-2300",
"fax_number": "781-794-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLELLA",
"first_name": "RAYMOND",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "59938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J07932",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.