Active NPI
Kimberly Rawlins, M.D.
- Psychiatry Physician
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 55146
- Practice address
- 1419 Beacon St
Brookline, MA 02446-4808 - Phone
- (617) 834-2092
- Fax
- (978) 287-5566
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 55146 | MA | Primary |
Addresses
Primary practice location
1419 Beacon St
Brookline, MA 02446-4808
Mailing address
PO Box 700 C/O Custom Medical Billing Inc
50 West Main Street
Ayer, MA 01432-1233
Phone (978) 772-7895
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Harvard Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Dimock St
Roxbury, MA 02119-1208
Phone (617) 442-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55146 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimock Community Services Corporation | Current | Accepting new patients | |
| Dimock Community Health Center, Inc | Current | Accepting new patients | |
| Framingham Psychiatric Care LLC | Psychiatry | Past | Accepting new patients |
Locations
41 Dimock St
Roxbury, MA 02119
45 Dimock St
Roxbury, MA 02119
55 Dimock St
Roxbury, MA 02119
Interoperability endpoints
- kimberly.rawlins@tdc.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roxbury, MA
- NPI 1326193269
-
dba The Dimock Center
- Federally Qualified Health Center (FQHC)
- Roxbury, MA
- NPI 1588719488
-
- Psychiatry Physician
- Framingham, MA
- NPI 1558910042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689761421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700 C/O CUSTOM MEDICAL BILLING INC",
"address_2": "50 WEST MAIN STREET",
"city": "AYER",
"state": "MA",
"postal_code": "014321233",
"telephone_number": "978-772-7895",
"fax_number": "978-772-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464808",
"telephone_number": "617-834-2092",
"fax_number": "978-287-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINS",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "55146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.