Psyche Care Provider Group PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHE CARE PROVIDER GROUP PA

Practice address

3 Kinnaird St Apt 3
Cambridge, MA 02139-3842

Phone

(510) 432-4114

NPI assigned

Nov 4, 2026

Last updated

Nov 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virmarie Diaz Fernandez, MD

Title

President

Phone

(352) 339-6299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1376442301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KINNAIRD ST APT 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 KINNAIRD ST APT 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393842",
            "telephone_number": "510-432-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE CARE PROVIDER GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ FERNANDEZ",
        "authorized_official_first_name": "VIRMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-339-6299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Proppe, MD
• Prospect Dental Group, L.L.C.
• Richard Prudencio, M.D.
• Peter Winsor Pruyn, ED.M., M.A.
• Susan A Pruyn, NP
• Psyche Care, Inc.
• Elizabeth Pugh, M.D.
• Guy F Pugh, M.D.
• Gabriella Maree Pugliese, PHARM.D.
• Janis L Puibello, RN CS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.