Organization Active NPI

Dba John R Peteet MD

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1699314153
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DBA JOHN R PETEET MD
Practice address
1 Brookline Place
Suite 502
Brookline, MA 02445-7277
Phone
(617) 278-0438
Fax
(617) 632-8136
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. John R Peteet, M.D.
Title
Provider
Phone
(617) 278-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1 Brookline Place
Suite 502
Brookline, MA 02445-7277

Mailing address

1 Brookline Place
Suite 502
Brookline, MA 02445-7277
Phone (617) 278-0438

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1699314153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PLACE",
            "address_2": "SUITE 502",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457277",
            "telephone_number": "617-278-0438",
            "fax_number": "617-632-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PLACE",
            "address_2": "SUITE 502",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457277",
            "telephone_number": "617-278-0438",
            "fax_number": "617-632-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBA JOHN R PETEET MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "PETEET",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "617-278-0438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Jan 2, 2020; 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.