Sean Augustine Minjares, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

219172 Issued in MA

Practice address

750 Washington St
Boston, MA 02111-1526

Phone

(617) 636-4663

Fax

(617) 636-4852

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710011085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BROOKLINE AVE",
            "address_2": "APT 209",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-4663",
            "fax_number": "617-636-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINJARES",
        "first_name": "SEAN",
        "middle_name": "AUGUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "219172",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A100054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Vernell Mines, MD
• Paras Singh Minhas, MD, PHD
• Prabhjot Minhas
• Charles Mininger
• Evelyn Eleni Minis, MD
• Alissa Minkovsky, M.D./PH.D.
• Christopher Minn, DMD
• Nithya Minnah, DMD, MMSC
• Mari Mino Kenudson, MD
• Noah Austin Minor, MD

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.