Active NPI
Angelos Sourpis, M.D.
- Psychiatry Physician
- Chestnut Hill, MA
National Provider Identifier
1780912790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 242877
- Practice address
- 300 South St
Chestnut Hill, MA 02467-3658 - Phone
- (617) 469-0300
- NPI assigned
- Dec 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 242877 | MA | Primary |
Addresses
Primary practice location
300 South St
Chestnut Hill, MA 02467-3658
Mailing address
300 South St
Chestnut Hill, MA 02467-3658
Phone (617) 469-0300
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 S St
Chestnut Hill, MA 02467-3658
Phone (617) 469-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Psychiatric Planners, Inc | Current | Accepting new patients |
Locations
300 South St
Chestnut Hill, MA 02467
Phone (617) 469-0300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Brookline, MA
- NPI 1093714412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1780912790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTH ST",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673658",
"telephone_number": "617-469-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SOUTH ST",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673658",
"telephone_number": "617-469-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOURPIS",
"first_name": "ANGELOS",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-02",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "242877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.