Individual provider Active NPI

John Nicholas Jung Shumate, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1659014017
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1025767 Issued in MA
Practice address
185 Devonshire St Ste 502
Boston, MA 02110-1407
Phone
(508) 318-8102
Fax
(617) 219-3097
NPI assigned
Apr 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1025767 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X 293493 MA

Addresses

Primary practice location

185 Devonshire St Ste 502
Boston, MA 02110-1407

Mailing address

185 Devonshire St Ste 502
Boston, MA 02110-1407
Phone (508) 318-8102

Other practice location 1

1842 Beacon St Ste 402
Brookline, MA 02445-1922
Phone (508) 318-8102

Other practice location 2

BIDMC Harvard Psychiatry Residency Training Program
330 Brookline Avenue, Rabb-2
Boston, MA 02215
Phone (617) 667-7000

Other identifiers 1

IdentifierTypeStateIssuer
1025767OtherMAMEDICAL LICENSE

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
293493MAMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: jshumate252370@direct.bilh.masshiway.net

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1659014017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST STE 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101407",
            "telephone_number": "508-318-8102",
            "fax_number": "617-219-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST STE 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101407",
            "telephone_number": "508-318-8102",
            "fax_number": "617-219-3097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1842 Beacon St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024451922",
            "country_code": "US",
            "telephone_number": "508-318-8102",
            "fax_number": "617-219-3097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "BIDMC Harvard Psychiatry Residency Training Program",
            "address_2": "330 Brookline Avenue, Rabb-2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02215",
            "country_code": "US",
            "telephone_number": "617-667-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "JOHN NICHOLAS",
        "middle_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "1025767",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "293493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "1025767",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.