Active NPI
Brian J Mazmanian, M.D.
- Psychiatry Physician
- Framingham, MA
National Provider Identifier
1366476533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 39490
- Practice address
- 63 Fountain St Ste 402
Framingham, MA 01702-6280 - Phone
- (508) 872-4813
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 39490 | MA | Primary |
Addresses
Primary practice location
63 Fountain St Ste 402
Framingham, MA 01702-6280
Mailing address
354 Otis St
West Newton, MA 02465-2547
Phone (617) 244-6559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1366476533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 OTIS ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024652547",
"telephone_number": "617-244-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 FOUNTAIN ST STE 402",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026280",
"telephone_number": "508-872-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZMANIAN",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "39490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.