NPIMap

Organization Active NPI

Suburban Psychiatric Specialists PC

  • Psychiatry Physician
  • Norwood, MA
National Provider Identifier
1447874284
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUBURBAN PSYCHIATRIC SPECIALISTS PC
Practice address
1500 Boston Providence Tpke Ste 20
Norwood, MA 02062-4649
Phone
(508) 205-9628
NPI assigned
Jun 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. Ujala Fawad, MDNPI 1063662112
Title
Medical Director
Phone
(508) 206-8578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Psychosomatic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0015X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1500 Boston Providence Tpke Ste 20
Norwood, MA 02062-4649

Mailing address

1500 Boston Providence Tpke Ste 20
Norwood, MA 02062-4649
Phone (508) 206-8578

Other practice location 1

195 Worcester St Ste 303
Wellesley, MA 02481-5568
Phone (508) 206-8578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728003038 MA Part B Supplier - Clinic/Group Practice 1557764545 Receives reassigned benefits from 4 practitioners
Practice locations: Norwood, MA; Wellesley, MA

National Provider Directory

National Provider Directory
Tax ID family
Suburban Psychiatric Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 Providence Hwy
Norwood, MA 02062

195 Worcester St
Ste 303
Wellesley, MA 02481
Phone (508) 206-8578

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1447874284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BOSTON PROVIDENCE TPKE STE 20",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624649",
            "telephone_number": "508-206-8578",
            "fax_number": "866-470-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BOSTON PROVIDENCE TPKE STE 20",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624649",
            "telephone_number": "508-205-9628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Worcester St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024815568",
            "country_code": "US",
            "telephone_number": "508-206-8578",
            "fax_number": "866-470-6528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUBURBAN PSYCHIATRIC SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "FAWAD",
        "authorized_official_first_name": "UJALA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-206-8578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.