Daniel Rutrick, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

36462 Issued in MA

Practice address

521 Mount Auburn St Ste 107-109
Watertown, MA 02472-4191

Phone

(617) 775-1818

Fax

(617) 744-8543

NPI assigned

Jun 27, 2006

Last updated

Jan 9, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 17, 2016 through Oct 17, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Daniel Rutrick, MD, PC

  • Prescribing (Medical) Psychologist
  • Everett, MA
  • NPI 1336341502
  NPD (past) Authorized official
• Daniel Rutrick MD PC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Everett, MA
  • NPI 1851500151
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1568499242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SOMERSET RD",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024652722",
            "telephone_number": "617-775-1818",
            "fax_number": "617-744-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST STE 107-109",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-775-1818",
            "fax_number": "617-744-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTRICK",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "36462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Blandford Rousseau
• Christine Anne Routhier, LMHC, MT-BC
• Nicole Roy, PA-C
• Victoria Rozzi
• RT Wellness Center LLC (Wayfinder Behavioral Health)
• Sarah Ryan, MA OTRL
• Fabiana Saad, NP
• Sophia Sadiki
• Neha Sajjad
• Azadeh Sajjadi, DMD

• Specialist in Watertown, MA
• Providers in Watertown, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.