Active NPI
Frank Guastella Anderson, M.D.
- Psychiatry Physician
- Concord, MA
National Provider Identifier
1780710376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 78891
- Practice address
- 70 Junction Square Dr # a
Concord, MA 01742-3049 - Phone
- (978) 371-7474
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 78891 | MA | Primary |
Addresses
Primary practice location
70 Junction Square Dr # a
Concord, MA 01742-3049
Mailing address
93 Maple St
Stow, MA 01775-1222
Phone (978) 371-7474
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78891 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780710376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 MAPLE ST",
"city": "STOW",
"state": "MA",
"postal_code": "017751222",
"telephone_number": "978-371-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 JUNCTION SQUARE DR # A",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423049",
"telephone_number": "978-371-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "FRANK GUASTELLA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "78891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- 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.