Individual provider Active NPI

Richard Irving Netsky, M.D.

  • Psychiatry Physician
  • Hingham, MA
National Provider Identifier
1487617775
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
41214 Issued in MA
Practice address
175 Derby St Ste 7
Hingham, MA 02043-4021
Phone
(617) 876-4099
Fax
(781) 740-0233
NPI assigned
Apr 9, 2006
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 41214 MA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 41214 MA

Addresses

Primary practice location

175 Derby St Ste 7
Hingham, MA 02043-4021

Mailing address

12 Burnley Rd
Norwood, MA 02062-1103
Phone (671) 365-2047

Other identifiers 1

IdentifierTypeStateIssuer
0195588MedicaidMA

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
I20050607000303 MA Practitioner - Psychiatry 6901849389 Practice locations: Belmont, MA; Hingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahnemann University College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

175 Derby St
Suite 7
Hingham, MA 02043-4021
Phone (617) 876-4099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41214MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Farber Aprn, P.C. CurrentSince Jul 17, 2022 Accepting new patients

Locations

175 Derby St
Ste 7
Hingham, MA 02043
Phone (781) 749-2278

Organizations & group practices 1

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": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1487617775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BURNLEY RD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621103",
            "telephone_number": "671-365-2047",
            "fax_number": "781-740-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DERBY ST STE 7",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434021",
            "telephone_number": "617-876-4099",
            "fax_number": "781-740-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETSKY",
        "first_name": "RICHARD",
        "middle_name": "IRVING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "41214",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "41214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195588",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.