Active NPI
David S Harnett, MD
- Geriatric Psychiatry Physician
- Medford, MA
National Provider Identifier
1417921925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 43765
- Practice address
- 170 Governors Ave
1St Floor
Medford, MA 02155-1643 - Phone
- (781) 306-6160
- Fax
- (781) 306-6175
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 43765 | MA | Primary |
Addresses
Primary practice location
170 Governors Ave
1St Floor
Medford, MA 02155-1643
Mailing address
170 Governors Ave
1St Floor
Medford, MA 02155-1643
Phone (781) 306-6160
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C04851 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 0194778 | Medicaid | MA | |
| 002512686130 | Other | MA | OXFORD |
| 260005817 | Other | MA | RAILROAD MEDICARE |
| 700220 | Other | MA | TUFTS/SECURE HORIZONS |
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
Interoperability endpoints
- dharnett29859@tuftsmedicine.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1417921925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 GOVERNORS AVE",
"address_2": "1ST FLOOR",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551643",
"telephone_number": "781-306-6160",
"fax_number": "781-306-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 GOVERNORS AVE",
"address_2": "1ST FLOOR",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551643",
"telephone_number": "781-306-6160",
"fax_number": "781-306-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNETT",
"first_name": "DAVID",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MA",
"license": "43765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "C04851",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0194778",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "002512686130",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260005817",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS/SECURE HORIZONS",
"identifier": "700220",
"state": "MA"
}
],
"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 Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.