Individual provider Active NPI

German V Crisostomo, M.D.

  • Psychiatry Physician
  • Everett, MA
National Provider Identifier
1285749945
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
77706 Issued in MA
Practice address
173 Chelsea St
Everett, MA 02149-4632
Phone
(781) 388-6200
Fax
(617) 387-9768
NPI assigned
Aug 20, 2006
Last updated
Dec 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 77706 MA Primary

Addresses

Primary practice location

173 Chelsea St
Everett, MA 02149-4632

Mailing address

173 Chelsea St
Everett, MA 02149-4632
Phone (781) 388-6200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000769 MA Practitioner - Psychiatry 4082657002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eliot Community Human ServicesGroup PAC ID 2062488000, 82 clinicians

Practice addresses (Care Compare)

86 Baker Ave Ext
Suite 100
Concord, MA 01742-2132
Phone (978) 369-1113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services Current Accepting new patients
Eliot Community Human Services CurrentSince May 26, 1993 Accepting new patients
Hri Clinics Inc Past Accepting new patients

Locations

86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

43 Dartmouth St
Malden, MA 02148
Phone (781) 306-4820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1285749945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 CHELSEA ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021494632",
            "telephone_number": "781-388-6200",
            "fax_number": "617-387-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 CHELSEA ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021494632",
            "telephone_number": "781-388-6200",
            "fax_number": "617-387-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "GERMAN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "77706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.