Dipavo Banerjee, DO
Individual provider Active NPI Psychiatry Physician · Webster, MA
NPI 1356928972 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1356928972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 1016460 (MA)
- Practice address
- 340 Thompson Rd
Webster, MA 01570-1509 - Phone
- (508) 949-8988
- Fax
- (508) 949-8997
- NPI assigned
- Mar 28, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
281 Lincoln St
Worcester, MA 01605-2192
PO Box
Boston, MA 02241
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016460 | MA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 1016460 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 1016460 | MA | Yes |
Addresses
Primary practice location
340 Thompson Rd
Webster, MA 01570-1509
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
100 Century Dr
Worcester, MA 01606-1244
Phone (508) 334-1000
Other providers in Webster, MA
- Linda Aronson
- Eileen C Aubuchon
- Ronald G. Auger
- Pharana Auguste
- Alexandra Diana Baldwin
- Islen Batista Yamilet Batista Mercedes
- Bessie L Bechthold
- Negar Beheshti
- Tiffany Belnavis
- Kayla Elizabeth Benson
All providers in Webster, 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 Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.