Active NPI
Polihimnia B Cabaero, MD
- Psychiatry Physician
- Medford, MA
National Provider Identifier
1376649996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43759
- Practice address
- 151 Mystic Ave
Suite # 6 DCS Mental Health Inc.
Medford, MA 02155 - Phone
- (718) 396-1199
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 43759 | MA | Primary |
Addresses
Primary practice location
151 Mystic Ave
Suite # 6 DCS Mental Health Inc.
Medford, MA 02155
Mailing address
10 Bemis Rd
Holyoke, MA 01040-1220
Phone (413) 534-7812
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": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1376649996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BEMIS RD",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010401220",
"telephone_number": "413-534-7812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MYSTIC AVE",
"address_2": "SUITE # 6 DCS MENTAL HEALTH INC.",
"city": "MEDFORD",
"state": "MA",
"postal_code": "02155",
"telephone_number": "718-396-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABAERO",
"first_name": "POLIHIMNIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "43759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.