Active NPI
Sarah Lynne Minden, MD
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1629059142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 44617
- Practice address
- 221 Longwood Ave
Dept of Psychiatry
Boston, MA 02115-5804 - Phone
- (617) 732-4499
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 44617 | MA | Primary |
Addresses
Primary practice location
221 Longwood Ave
Dept of Psychiatry
Boston, MA 02115-5804
Mailing address
111 Cypress St
Brookline, MA 02445-6002
Phone (857) 307-0896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050819000464 | MA | Practitioner - Psychiatry | 0840220794 | Practice locations: West Roxbury, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
238 Vermont St
West Roxbury, MA 02132-2833
Phone (617) 510-2319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1629059142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456002",
"telephone_number": "857-307-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 LONGWOOD AVE",
"address_2": "DEPT OF PSYCHIATRY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155804",
"telephone_number": "617-732-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINDEN",
"first_name": "SARAH",
"middle_name": "LYNNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "44617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.