Active NPI
Richard W Barnum, M.D.
- Psychiatry Physician
- Chestnut Hill, MA
National Provider Identifier
1366482895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 38266
- Practice address
- 21 Wolcott Rd
Chestnut Hill, MA 02467-3106 - Phone
- (617) 788-6460
- NPI assigned
- Jun 6, 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 | 38266 | MA | Primary |
Addresses
Primary practice location
21 Wolcott Rd
Chestnut Hill, MA 02467-3106
Mailing address
21 Wolcott Rd
Chestnut Hill, MA 02467-3106
Phone (617) 469-3911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110036780 | 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 |
|---|---|---|---|---|
| I20041207000288 | MA | Practitioner - Psychiatry | 9638135130 | Practice locations: Chestnut Hill, MA |
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": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1366482895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WOLCOTT RD",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673106",
"telephone_number": "617-469-3911",
"fax_number": "617-663-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WOLCOTT RD",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673106",
"telephone_number": "617-788-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNUM",
"first_name": "RICHARD",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "38266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110036780",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.