Individual provider Active NPI

Douglas Katz

  • Psychologist
  • Needham Heights, MA
National Provider Identifier
1588729883
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8700 Issued in MA
Practice address
124 Woodbine Cir
Needham Heights, MA 02494-2152
Phone
(617) 272-0892
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Psychologist 103T00000X 8700 MA Primary

Addresses

Primary practice location

124 Woodbine Cir
Needham Heights, MA 02494-2152

Mailing address

124 Woodbine Cir
Needham Heights, MA 02494-2152
Phone (617) 272-0892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8700MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services CurrentSince Dec 10, 2022 Accepting new patients
The General Hospital Corporation CurrentSince May 26, 2016 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince May 26, 2016 Accepting new patients
General Hospital Corp Current Accepting new patients
Eliot Community Human Services Current Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

Interoperability endpoints

  • Direct secure messaging: katz.douglas.mgh@direct.partners.masshiway.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1588729883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WOODBINE CIR",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024942152",
            "telephone_number": "617-272-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WOODBINE CIR",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024942152",
            "telephone_number": "617-272-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham Heights, MA

Sources for this page

Verify at the official NPI Registry.