Active NPI
Tiffany Lago, M.D.
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1750647848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D79423
- Practice address
- 150 Huntington Ave
Boston, MA 02115-4808 - Phone
- (857) 364-2859
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D79423 | MD | Primary |
Addresses
Primary practice location
150 Huntington Ave
Boston, MA 02115-4808
Mailing address
255 Orchard St
Watertown, MA 02472-1820
Other practice location 1
1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 638-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D79423 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1750647848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 ORCHARD ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024721820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 HUNTINGTON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021154808",
"telephone_number": "857-364-2859"
}
],
"practiceLocations": [
{
"address_1": "1 Boston Medical Ctr Pl",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182908",
"country_code": "US",
"telephone_number": "617-638-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAGO",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D79423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.