Active NPI
Catline Jacques, M.D.
- Psychiatry Physician
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 254277
- Practice address
- 125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392 - Phone
- (617) 300-0728
- NPI assigned
- Jun 17, 2010
- Last updated
- Jun 1, 2023
- 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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 254277 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallmark Health System Inc | Psychiatry | Current | Accepting new patients |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Alverdia Health PLLC | Psychiatry | Current | Accepting new patients |
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Child and Family Psychological Services, PLLC | Psychiatry | Current | Accepting new patients |
| Cambridge Public Health Commission | Current | 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
- 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.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
dba LifeStance Health
- Psychologist
- Norwood, MA
- NPI 1912987181
Psychiatry
-
- Psychiatry Physician
- Cambridge, MA
- NPI 1538629738
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Psychiatric Hospital Unit
- Medford, MA
- NPI 1891835351
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.