Individual provider Active NPI

Tanishia Desha Choice, M.D.

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1396904611
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
250653 Issued in MA
Practice address
55 Fruit St
Yawkey Center for Outpatient Care, Yawkey 6a
Boston, MA 02114-2621
Phone
(617) 724-5600
Fax
(617) 724-5567
NPI assigned
Jun 2, 2008
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N7241 TX
Psychiatry Physician 2084P0800X 250653 MA Primary

Addresses

Primary practice location

55 Fruit St
Yawkey Center for Outpatient Care, Yawkey 6a
Boston, MA 02114-2621

Mailing address

PO Box 381439
Cambridge, MA 02238-1439
Phone (857) 259-6679

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130313000239 MA Practitioner - Psychiatry 1355528233 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

60 Granite St
Lynn, MA 01904-2915
Phone (978) 816-2728

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250653MAMDPsychiatry Physician
N7241TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2014 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 24, 2016 Accepting new patients
General Hospital Corp Current Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 24, 2016 Accepting new patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Jul 1, 2014 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
#6A
Boston, MA 02114
Phone (617) 724-0758

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

60 Granite St
Lynn, MA 01904
Phone (781) 599-9200

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: choice.tanishia.mgh@direct.partners.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1396904611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381439",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "022381439",
            "telephone_number": "857-259-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "YAWKEY CENTER FOR OUTPATIENT CARE, YAWKEY 6A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-5600",
            "fax_number": "617-724-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOICE",
        "first_name": "TANISHIA",
        "middle_name": "DESHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N7241",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "250653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.