Organization Active NPI

Longwood Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Framingham, MA
National Provider Identifier
1659391407
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
217414 Issued in MA
Legal business name
LONGWOOD PSYCHIATRY LLC
Practice address
463 Worcester Rd Ste 401
Framingham, MA 01701-5354
Phone
(508) 834-3183
Fax
(508) 532-1168
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Maitri R Patel, MDNPI 1912945213
Title
Owner
Phone
(508) 834-3183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 217414 MA Primary

Addresses

Primary practice location

463 Worcester Rd Ste 401
Framingham, MA 01701-5354

Mailing address

463 Worcester Rd Ste 401
Framingham, MA 01701-5354
Phone (508) 834-3183

National Provider Directory

National Provider Directory

Locations

463 Worcester Rd
Ste 401
Framingham, MA 01701
Phone (508) 834-3183

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1659391407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD STE 401",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015354",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD STE 401",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015354",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAITRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-834-3183",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "217414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.