Paul David, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

40219 Issued in MA

Practice address

60 Rokeby Rd
Waban, MA 02468-2156

Phone

(617) 921-5098

Fax

(617) 910-3059

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1508971490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024680002",
            "telephone_number": "617-921-5098",
            "fax_number": "617-910-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROKEBY RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024682156",
            "telephone_number": "617-921-5098",
            "fax_number": "617-910-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "40219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Chud, M.S., CCC-SLP
• Charis E Cladouhos, M.D.
• Mark Edward Costa, MD
• Robert Jean Cournoyer, PH.D.
• Anne Lacy Daniels, ANNE DANIELS, ED.D.
• Michael Davies
• Patricia Anne Dean, PSYD
• Kayla Lauren Devine
• Katherine Marie Dooley, LIC. AC.
• Catherine Ione Dubois, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.