Active NPI
Patricia Mary Walsh, M.D.
- Geriatric Psychiatry Physician
- Lynn, MA
National Provider Identifier
1679645725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 60388
- Practice address
- 500 Lynnfield St
E-3
Lynn, MA 01904-1424 - Phone
- (781) 477-3120
- Fax
- (781) 477-3897
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 60388 | MA | Primary |
Addresses
Primary practice location
500 Lynnfield St
E-3
Lynn, MA 01904-1424
Mailing address
22 Bradford St
#1
Boston, MA 02118-2119
Phone (617) 542-7879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001523 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81600 | MA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSPG Billing LLC | Past | Accepting new patients |
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.
-
- Urology Physician
- Newburyport, MA
- NPI 1144981721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679645725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRADFORD ST",
"address_2": "#1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182119",
"telephone_number": "617-542-7879",
"fax_number": "781-477-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LYNNFIELD ST",
"address_2": "E-3",
"city": "LYNN",
"state": "MA",
"postal_code": "019041424",
"telephone_number": "781-477-3120",
"fax_number": "781-477-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "PATRICIA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MA",
"license": "60388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001523",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.