Individual provider Active NPI

Kimberly Rawlins, M.D.

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1689761421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55146 Issued in MA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000130 MA Practitioner - Psychiatry 4880605617 Reassigns benefits to 1 organization
Practice locations: Brookline, MA

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

LicenseStateTypeSpecialty
55146MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimock Community Services Corporation CurrentSince May 28, 2017 Accepting new patients
Dimock Community Health Center, Inc CurrentSince May 28, 2017 Accepting new patients
Framingham Psychiatric Care LLC Psychiatry PastSince Sep 8, 2019 Accepting new patients

Locations

41 Dimock St
Roxbury, MA 02119

45 Dimock St
Roxbury, MA 02119

55 Dimock St
Roxbury, MA 02119

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.