David Paul Mirsky, MD
Individual provider Active NPI Psychiatry Physician · Upton, MA
NPI 1295898401 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295898401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 29404 (MA)
- Practice address
- 206 Milford St
Riverside Community Care
Upton, MA 01568-1309 - Phone
- (508) 529-7000
- Fax
- (508) 529-7024
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29404 | MA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29404 | MA | Yes |
Addresses
Primary practice location
206 Milford St
Riverside Community Care
Upton, MA 01568-1309
Mailing address
68 Hyde St
Newton Highlands, MA 02461-1206
Phone (617) 332-6595
Other providers in Upton, MA
- Malloy Speech Solutions LLC
- Renee L. Malloy
- Kathleen Mary Manning
- Sharon Ann Marini
- Terese McLaughlin
- Satya Rao Montgomery
- Ellen Anne Moodie
- Debra S Morrison
- Janet M. Murphy
- Alicia Dallas Murray
All providers in Upton, MA · Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.