Forsythia Behavioral Health Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD16019 Issued in RI

Legal business name

FORSYTHIA BEHAVIORAL HEALTH SERVICES, LLC

Practice address

131 Coolidge Ave Apt 521
Watertown, MA 02472-2800

Phone

(401) 400-0636

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Simon Desjardins, MD

Title

Owner/Provider

Phone

(401) 424-5200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren L Purvis, M.D.

  • Prescribing (Medical) Psychologist
  • Providence, RI
  • NPI 1942412655
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1699269894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COOLIDGE AVE APT 521",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722800",
            "telephone_number": "401-400-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COOLIDGE AVE APT 521",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722800",
            "telephone_number": "401-400-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Bassett St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034200",
            "country_code": "US",
            "telephone_number": "401-424-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORSYTHIA BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "401-424-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD16019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dori Fishbone, MS OTRL
• Janina Fisher, PHD
• Luann M Fitzgerald, PT
• Bryce Foote, PHARMD
• Andrea M Forde, NP
• Alice Frawley, PA
• Jordynn Ann Frollo
• Katie Fucillo
• Emilia Ann Fulop, BS
• Russell Furtado, LIC. AC.

• Psychiatry Physician in Watertown, MA
• Providers in Watertown, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.