Marc Stevan Kramer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

39793 Issued in MA

Practice address

17 Henshaw St
Brighton, MA 02135-2905

Phone

(617) 254-0800

Fax

(617) 964-1488

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Maryland School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366525222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PRENTICE RD",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591325",
            "telephone_number": "617-254-0800",
            "fax_number": "617-964-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HENSHAW ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352905",
            "telephone_number": "617-254-0800",
            "fax_number": "617-964-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MARC",
        "middle_name": "STEVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "39793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123498",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ioannis Koulouridis, M.D., M.S.
• Stephen O. Kovacs, M.D.
• Randi Kowalczyk
• Sarah Elizabeth Kraft, PMHNP-BC
• Eryn Kramer, MPT
• Elizabeth Kranich
• Kre Husky Chestnut Park Licensee LLC
• Kre-BSL Husky Chestnut Park Operations LLC
• Erica Krinsky
• Sandeep Krishnan, M.D.

• Psychiatry Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.