Individual provider Active NPI

Michael W. Marcus, MD

  • Child & Adolescent Psychiatry Physician
  • Boston, MA
National Provider Identifier
1669571253
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
31948 Issued in MA
Practice address
82 Marlborough St
Boston, MA 02116-2020
Phone
(617) 721-2737
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 31948 MA Primary

Addresses

Primary practice location

82 Marlborough St
Boston, MA 02116-2020

Mailing address

82 Marlborough St
Boston, MA 02116-2020
Phone (617) 721-2737

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000388 MA Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 3173571619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael W. Marcus, M.D., P.C.Group PAC ID 7810945359, 6 clinicians

Practice addresses (Care Compare)

898 Main St
Winchester, MA 01890-1913
Phone (781) 721-2737

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W. Marcus, M.D., P.C. CurrentSince Oct 25, 1982 Accepting new patients

Locations

82 Marlborough St
Boston, MA 02116
Phone (617) 437-1599

898 Main St
Winchester, MA 01890
Phone (781) 721-2737

Organizations & group practices 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669571253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MARLBOROUGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162020",
            "telephone_number": "617-721-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MARLBOROUGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162020",
            "telephone_number": "617-721-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "31948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.