Individual provider Active NPI

Naomi Dworkin, M.D.

  • Child & Adolescent Psychiatry Physician
  • Belmont, MA
National Provider Identifier
1700844776
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
73720 Issued in MA
Practice address
144 Sherman St
Belmont, MA 02478-4101
Phone
(617) 847-1950
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 73720 MA Primary

Addresses

Primary practice location

144 Sherman St
Belmont, MA 02478-4101

Mailing address

144 Sherman St
Belmont, MA 02478-4101
Phone (617) 847-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000343 MA Practitioner - Psychiatry 7113967399 Reassigns benefits to 1 organization
Practice locations: Belmont, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. CurrentSince Nov 1, 2007 Accepting new patients
Belmont Counseling Associates Past Accepting new patients

Locations

1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709

859 Willard St
Ste 430
Quincy, MA 02169
Phone (617) 847-1909

500 Victory Rd
Quincy, MA 02171
Phone (617) 774-1040

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1700844776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SHERMAN ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784101",
            "telephone_number": "617-847-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SHERMAN ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784101",
            "telephone_number": "617-847-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "NAOMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "73720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.