Individual provider Active NPI

Catline Jacques, M.D.

  • Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1760703391
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
254277 Issued in MA
Practice address
125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392
Phone
(617) 300-0728
NPI assigned
Jun 17, 2010
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 254277 MA Primary

Addresses

Primary practice location

125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392

Mailing address

125 Cambridgepark Dr
Cambridge, MA 02140-2329
Phone (617) 300-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000035 MA Practitioner - Psychiatry 8022250893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melrosewakefield Healthcare, IncGroup PAC ID 8224935838, 24 clinicians

Practice addresses (Care Compare)

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254277MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health System Inc Psychiatry CurrentSince Jul 1, 2013 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 14, 2015 Accepting new patients
Alverdia Health PLLC Psychiatry Current Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Child and Family Psychological Services, PLLC Psychiatry CurrentSince Sep 19, 2018 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 14, 2015 Accepting new patients

Locations

22 Mill St
Ste 4
Arlington, MA 02476
Phone (781) 246-0500

125 Cambridgepark Dr
Ste 301
Cambridge, MA 02140
Phone (617) 300-0728

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

245 1st St
Ste 1800
Cambridge, MA 02142
Phone (617) 444-8621

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

12 Alfred St
Ste 200
Woburn, MA 01801
Phone 7816460500 ext. 112

Interoperability endpoints

  • Direct secure messaging: cjacques28706@tuftsmedicine.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1760703391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CAMBRIDGEPARK DR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402329",
            "telephone_number": "617-300-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CAMBRIDGEPARK DR STE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402392",
            "telephone_number": "617-300-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "CATLINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "254277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.