Individual provider Active NPI

Anmir Agresar-Donate, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1285832865
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
233233 Issued in MA
Practice address
157 Green St
Boston, MA 02130-2667
Phone
(617) 524-0409
NPI assigned
Jul 5, 2007
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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 233233 MA Primary

Addresses

Primary practice location

157 Green St
Boston, MA 02130-2667

Mailing address

157 Green St
Boston, MA 02130-2667

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
I20110526000217 MA Practitioner - Psychiatry 0749466837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ponce School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arbour IncGroup PAC ID 6800975574, 19 clinicians

Practice addresses (Care Compare)

157 Green St
Jamaica Plain, MA 02130-2667
Phone (617) 390-1362

49 Robinwood Ave
Boston, MA 02130-2156
Phone (617) 522-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233233MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Inc Psychiatry CurrentSince Mar 20, 2011 Accepting new patients
Arbour Inc CurrentSince Mar 20, 2011 Accepting new patients

Locations

157 Green St
Jamaica Plain, MA 02130
Phone (617) 524-1120

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1285832865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 GREEN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 GREEN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302667",
            "telephone_number": "617-524-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRESAR-DONATE",
        "first_name": "ANMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "233233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.