Individual provider Active NPI

Olga Novikov, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1417452756
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
293238 Issued in MA
Practice address
720 Harrison Ave Ste 915
Boston, MA 02118-2334
Phone
(617) 638-8540
Fax
(617) 638-8535
NPI assigned
Mar 28, 2018
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 293238 MA Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X A198447 CA
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 167829 FL

Addresses

Primary practice location

720 Harrison Ave Ste 915
Boston, MA 02118-2334

Mailing address

720 Harrison Ave Ste 915
Boston, MA 02118-2334
Phone (617) 638-8540

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
I20230111001992 MA Practitioner - Psychiatry 1557610722 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A198447CAMDBehavioral Neurology & Neuropsychiatry Physician
167829FLMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
Coastal Medical Associates CurrentSince Oct 4, 2022 Accepting new patients
VHS Acquisition Subsidiary Number 7 Inc Past Accepting new patients
Boston University Dermatology, Inc. Past Accepting new patients
VHS Acquisition Subsidiary Number 7 Inc Past Accepting new patients

Locations

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1417452756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE STE 915",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182334",
            "telephone_number": "617-638-8540",
            "fax_number": "617-638-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE STE 915",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182334",
            "telephone_number": "617-638-8540",
            "fax_number": "617-638-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIKOV",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "293238",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A198447",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "FL",
            "license": "167829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.