Individual provider Active NPI

Aleksandra Panov Phillips, M.D.

  • Child & Adolescent Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1316018450
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD11599 Issued in HI
Practice address
75 Mount Auburn St
Cambridge, MA 02138-4960
Phone
(508) 923-5429
Fax
(617) 495-8078
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14781R LA
Child & Adolescent Psychiatry Physician 2084P0804X MD11599 HI Primary
Child & Adolescent Psychiatry Physician 2084P0804X 046215 CT
Child & Adolescent Psychiatry Physician 2084P0804X 277354 MA
Psychiatry Physician 2084P0800X 046215 CT
Psychiatry Physician 2084P0800X MD14144 RI
Child & Adolescent Psychiatry Physician 2084P0804X 14781R LA

Addresses

Primary practice location

75 Mount Auburn St
Cambridge, MA 02138-4960

Mailing address

28 Salisbury St
Tiverton, RI 02878-4235
Phone (808) 729-4301

Other practice location 1

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Other identifiers 1

IdentifierTypeStateIssuer
1573761MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI, MA, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081114000257 CT Practitioner - Psychiatry 7012969439 Reassigns benefits to 3 organizations
I20130731000274 RI Practitioner - Psychiatry 7012969439 Reassigns benefits to 5 organizations
I20190515001611 MA Practitioner - Psychiatry 7012969439 Reassigns benefits to 7 organizations
I20211117000687 NC Practitioner - Psychiatry 7012969439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
President and Fellows of Harvard CollegeGroup PAC ID 2062303894, 94 clinicians
Child and Family Services, Inc.Group PAC ID 9234116583, 34 clinicians

Practice addresses (Care Compare)

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 496-8700

965 Church St
New Bedford, MA 02745-1400
Phone (508) 996-8572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046215CTMDPsychiatry Physician
MD14144RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
President and Fellows of Harvard College CurrentSince Jul 1, 2022 Accepting new patients
Middlesex Hospital Current Accepting new patients
Community Health Connections, Inc. Current Accepting new patients
Community Health Connections, Inc. CurrentSince Jan 15, 2022 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital CurrentSince Feb 1, 2021 Accepting new patients
Prime Healthcare Services Landmark LLC Psychiatry CurrentSince Jun 1, 2014 Accepting new patients
President & Fellows of Harvard College CurrentSince Jul 1, 2022 Accepting new patients
Martha'S Vineyard Community Services, Inc. CurrentSince Jul 29, 2024 Accepting new patients
Middlesex Hospital Psychiatry CurrentSince Feb 1, 2021 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Oct 31, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Jun 6, 2022 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Oct 31, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Mar 4, 2018 Accepting new patients
Community Health Connections, Inc. CurrentSince Jan 15, 2022 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Mar 4, 2018 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jun 1, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Mar 4, 2018 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Feb 15, 2021 Accepting new patients
The Commonwealth of Massachusetts Current Accepting new patients
The McLean Hospital Corporation Psychiatry CurrentSince Mar 21, 2022 Accepting new patients
MCPC-11, LLC CurrentSince Aug 3, 2021 Accepting new patients
Prospect Chartercare Sjhsri, LLC Psychiatry CurrentSince Mar 4, 2018 Accepting new patients
Child & Family Services, Inc. CurrentSince Jan 20, 2026 Accepting new patients
St. Joseph Health Services of Rhode Island Past Accepting new patients
St. Joseph Health Services of Rhode Island Psychiatry Past Accepting new patients
State of Hawaii Department of Health Psychiatry Past Accepting new patients

Locations (25 of 30)

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

21 Grand St
Hartford, CT 06106

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

1 Pearl St
#1600A
Brockton, MA 02301
Phone (508) 443-1082

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600

60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134

111 Edgartown Vineyard Haven Rd
Vineyard Hvn, MA 02568

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

45 Sockanosset Cross Rd
Ste 4
Cranston, RI 02920
Phone (401) 383-4885

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

Interoperability endpoints

  • Direct secure messaging: aleksandra.phillips.p1@direct.chcfhc.nextgenshare.com

Organizations & group practices 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1316018450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SALISBURY ST",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784235",
            "telephone_number": "808-729-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384960",
            "telephone_number": "508-923-5429",
            "fax_number": "617-495-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ALEKSANDRA",
        "middle_name": "PANOV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "14781R",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD11599",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "046215",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "277354",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046215",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD14144",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "14781R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1573761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.