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

LicenseStateTypeSpecialty
1016460MAMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Webster, MA · Psychiatry Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.