Active NPI
Mark Joseph Albanese, M.D.
- Addiction Psychiatry Physician
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 71493
- Practice address
- 26 Central St
Somerville, MA 02143-2827 - Phone
- (617) 591-6020
- Fax
- (617) 591-6054
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 71493 | MA | |
| Addiction Psychiatry Physician | 2084P0802X | 71493 | MA | Primary |
Addresses
Primary practice location
26 Central St
Somerville, MA 02143-2827
Mailing address
26 Central St
Somerville, MA 02143-2827
Phone (617) 591-6020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3098117 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050414000856 | MA | Practitioner - Psychiatry | 1355388927 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71493 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| North Charles Mental Health Research & Training Foundation, Inc | Psychiatry | Current | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
54 Washburn Ave
Cambridge, MA 02140
Phone (617) 491-1269
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583
26 Central St
Somerville, MA 02143
Phone (617) 591-6033
Organizations & group practices 4
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.
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1447348313
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Psychologist
- Cambridge, MA
- NPI 1356411862
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1366475675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CENTRAL ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432827",
"telephone_number": "617-591-6020",
"fax_number": "617-591-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 CENTRAL ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432827",
"telephone_number": "617-591-6020",
"fax_number": "617-591-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBANESE",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "71493",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MA",
"license": "71493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3098117",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.