Stephen Elliott Dubin, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA58415 Issued in MA

Practice address

67 Coddington St
Suite 205
Quincy, MA 02169

Phone

(617) 471-2293

Fax

(617) 471-1293

NPI assigned

Aug 5, 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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sdubin44054@direct.capecodhealthcare.masshiway.net

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.

• Cape Cod Hospital Inc

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  NPD
• Toward Independent Living & Learning, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dedham, MA
  • NPI 1992898035
  NPD (past)
• Toward Independent Living and Learning

  • Neurology Physician
  • Dedham, MA
  • NPI 1528294832
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508875956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 205",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-471-2293",
            "fax_number": "617-471-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 205",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-471-2293",
            "fax_number": "617-471-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "STEPHEN",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "MA58415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "22330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTH NET",
            "identifier": "22093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V06959",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040518",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "710697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph P Driscoll, PTA
• Michael R Driscoll, PA
• Elizabeth Drumm, D.O.
• Dubin Chiropractic
• Joshua Dubin, DC, CCSP, CSCS
• Victoria Dubois-Iredale
• Jacqueline Marie Dubois, FNP-BC
• Susan L Dubuc, APRN
• George Ducach, DPM
• Stephen C Duclos, LMFT

• Psychiatry Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.