Kenneth Jay Adelman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

150579 Issued in MA

Practice address

124 Watertown St Ste 2D
Watertown, MA 02472-2500

Phone

(617) 916-5069

Fax

(617) 467-4073

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Square Medical Group LLC

  • Adult Mental Health Clinic/Center
  • Watertown, MA
  • NPI 1356515464

  MA

  Medicare reassignment Care Compare group NPD
• First Psychiatric Planners, Inc

  • Psychiatric Hospital
  • Brookline, MA
  • NPI 1093714412

  MA

  Medicare reassignment NPD
• Bournewood Clinical Associates

  • Nurse Practitioner
  • Brookline, MA
  • NPI 1891780144

  Psychiatry

  NPD
• Square Medical Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watertown, MA
  • NPI 1760957609
  NPD (past)
• University of Massachusetts

  • Professional Counselor
  • Worcester, MA
  • NPI 1477618957
  NPD (past)

Specialty

Psychiatry

Education

Temple University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Square Medical Group LLC 16 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1497700694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 2D",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-916-5069",
            "fax_number": "617-467-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 2D",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-916-5069",
            "fax_number": "617-467-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "KENNETH",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "150579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Renee Abrams-Weintraub, M.D.
• Acumed LLC
• Elizabeth Paige Adams
• Lisa Adams, DPT, MHP, CDT, CEEAA
• Adaptive Homecare LLC
• Adjust Yourself LLC
• Advances Learning Center, Inc.
• Affiliates in Podiatry PC
• Christopher A Aghjayan, BCBA
• Barry Joseph Agranat, DMD

• All providers in Watertown, MA
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.

Verify at the official NPI Registry.