Active NPI
Carol C Nadelson, MD
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1790741056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27405
- Practice address
- 75 Francis Street PBB5 503
BWH Partner Office for Womens Careers
Boston, MA 02115 - Phone
- (617) 732-8595
- NPI assigned
- Apr 25, 2006
- 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 | 27405 | MA | Primary |
Addresses
Primary practice location
75 Francis Street PBB5 503
BWH Partner Office for Womens Careers
Boston, MA 02115
Mailing address
75 Francis Street PBB5 503
BWH Partner Office for Womens Careers
Boston, MA 02115
Phone (617) 732-8595
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 |
|---|---|---|---|
| 27405 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790741056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET PBB5 503",
"address_2": "BWH PARTNER OFFICE FOR WOMENS CAREERS",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET PBB5 503",
"address_2": "BWH PARTNER OFFICE FOR WOMENS CAREERS",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADELSON",
"first_name": "CAROL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "27405",
"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 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.