Roger Pottanat, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

245867 Issued in MA

Practice address

169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101

Phone

(781) 551-0999

Fax

(781) 551-3396

NPI assigned

Jun 18, 2010

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pottanat.roger.mcl@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Precision Neurotherapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Natick, MA
  • NPI 1255081063
  NPD Authorized official
• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Psychiatry

  NPD
• The McLean Hospital Corporation

  dba McLean Professional Practice Group

  • Psychiatry Physician
  • Belmont, MA
  • NPI 1114979580
  NPD
• Mount Auburn Hospital

  • Psychiatric Hospital Unit
  • Cambridge, MA
  • NPI 1649254491
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1396066874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LIBBEY INDUSTRIAL PKWY",
            "address_2": "2ND FLOOR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893101",
            "telephone_number": "781-551-0999",
            "fax_number": "781-551-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LIBBEY INDUSTRIAL PKWY",
            "address_2": "2ND FLOOR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893101",
            "telephone_number": "781-551-0999",
            "fax_number": "781-551-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTANAT",
        "first_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "245867",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "245867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian C Pitts, LICSW
• Bethany Marie Platt, M.A.
• Jennifer Kelly Plourde, PT, DPT
• Christian Plunkett, DPT
• Ramsay Garrett Pope
• Heather Ann Pozzi, PA-C
• Robert Pressberg, M.D.
• Michael J Preston, PHD
• Preventive Medicine Associates (Weymouth Medical Practice)
• Cathleen Mary Prewitt, CCCSLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.