Active NPI
Glenn Baumann, MD
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1447945241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3015089
- Practice address
- 800 Washington St
Boston, MA 02111-1552 - Phone
- (617) 636-5000
- NPI assigned
- Apr 7, 2023
- Last updated
- Jul 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 1025118 | MA | |
| Psychiatry Physician | 2084P0800X | 3015089 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Boston, MA 02111-1552
Mailing address
6062 Dagny Cir
Huntington Beach, CA 92647-3250
Phone (714) 822-8634
Other practice location 1
298 Washington St
Gloucester, MA 01930-4832
Phone (978) 283-4000
Other practice location 2
85 Herrick St
Beverly, MA 01915-1790
Phone (978) 922-3000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230817003482 | MA | Order and Referring Only - Psychiatry | 4082076344 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Southern California Keck School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
41 Mall Rd
Burlington, MA 01805-0001
701 Edgewater Drive
Suite 420
Wakefield, MA 01880-6236
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447945241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6062 DAGNY CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473250",
"telephone_number": "714-822-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
}
],
"practiceLocations": [
{
"address_1": "298 Washington St",
"address_purpose": "LOCATION",
"city": "Gloucester",
"state": "MA",
"postal_code": "019304832",
"country_code": "US",
"telephone_number": "978-283-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 Herrick St",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "019151790",
"country_code": "US",
"telephone_number": "978-922-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMANN",
"first_name": "GLENN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-07",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "1025118",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "3015089",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.