Individual provider Active NPI

Sanda Soe Aung, MD

  • Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1679564108
Registry record updated Aug 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
215902 Issued in MA
Practice address
875 Massachusetts Ave
75
Cambridge, MA 02139-3067
Phone
(617) 797-9598
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 215902 MA Primary

Addresses

Primary practice location

875 Massachusetts Ave
75
Cambridge, MA 02139-3067

Mailing address

2440 Massachusetts Ave
34
Cambridge, MA 02140-1642
Phone (617) 797-7598

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
I20060801000195 MA Practitioner - Psychiatry 2163435504 Reassigns benefits to 2 organizations
Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2440 Massachusetts Ave
Suite 34
Cambridge, MA 02140-1661

875 Massachusetts Ave
Suite 75
Cambridge, MA 02139-3071
Phone (617) 797-7598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215902MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 30, 2014 Accepting new patients
Cambridge Public Health Commission CurrentSince Feb 7, 2023 Accepting new patients
Cambridge Public Health Commission CurrentSince Feb 7, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 30, 2014 Accepting new patients
Community Services Group, Inc. PastSince Oct 1, 2002 Accepting new patients
North Suffolk Community Services Inc. PastSince Oct 20, 1997 Accepting new patients
Lebanon County Commissioners Psychiatry Past Accepting new patients

Locations

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

11 Nevins St
Ste 406
Brighton, MA 02135
Phone (617) 562-5432

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

77 Warren St
Bldg 2
Brighton, MA 02135
Phone (617) 383-7804

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

872 Massachusetts Ave
Ste 2-5
Cambridge, MA 02139
Phone (617) 777-0483

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

Organizations & group practices 7

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377388800000",
    "number": "1679564108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 MASSACHUSETTS AVE",
            "address_2": "34",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401642",
            "telephone_number": "617-797-7598",
            "fax_number": "617-491-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE",
            "address_2": "75",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-797-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUNG",
        "first_name": "SANDA",
        "middle_name": "SOE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2013-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "215902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.