Active NPI
Philip J Sandler, M.D.
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1396804522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35492
- Practice address
- B.U. Student Health Services
881 Commonwealth Avenue
Boston, MA 02215 - Phone
- (617) 353-3569
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 35492 | MA | Primary |
Addresses
Primary practice location
B.U. Student Health Services
881 Commonwealth Avenue
Boston, MA 02215
Mailing address
B.U. Div of Student Health
881 Comm. Ave, West Entrance
Boston, MA 02215
Phone (617) 353-3569
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35492 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396804522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B.U. DIV OF STUDENT HEALTH",
"address_2": "881 COMM. AVE, WEST ENTRANCE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-353-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B.U. STUDENT HEALTH SERVICES",
"address_2": "881 COMMONWEALTH AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-353-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLER",
"first_name": "PHILIP",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "35492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.