Scott R Beach, MD
Individual provider Active NPI Psychiatry Physician · Boston, MA
NPI 1609088285 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1609088285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 242778 (MA)
- Practice address
- 55 Fruit St, Warren 605
Boston, MA 02114 - Phone
- (617) 726-2000
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Virginia School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massachusetts General Physicians Organization Inc
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100720000865 | MA | Practitioner - Psychiatry | 9436224243 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242778 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Psychiatry | Current |
Accepting new patients |
| The General Hospital Corporation | Current |
Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
#605
Boston, MA 02114
Phone (617) 726-2984
Interoperability endpoints
- sbeach476904@direct.uvmhealth.org
- srbeach@direct.maniilaq.org
- beach.scott.mgh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 315038 | NY | |
| Psychiatry Physician | 2084P0800X | 242778 | MA | Yes |
Addresses
Primary practice location
55 Fruit St, Warren 605
Boston, MA 02114
Mailing address
55 Fruit St
Boston, MA 02114-2621
Phone (434) 924-8344
Other practice location 1
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7790
Other providers in Boston, MA
- Be Well Behavioral Health, LLC
- Be Well Community Healthcare Network, Inc.
- Douglas M Beach
- Julia Karly Beach
- Ruta K Beach
- Beacon Care, Inc.
- Beacon Dental Health Ma II PLLC
- Beacon Dental Health Ma II PLLC
- Beacon Dental Health Ma II PLLC
- Beacon Dental Health PC
All providers in Boston, MA · Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.