Individual provider Active NPI

Juris Egils Treibergs, M.D.

  • Psychiatry Physician
  • Plymouth, MA
National Provider Identifier
1790760098
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
56025 Issued in MA
Practice address
323 Court St
Plymouth, MA 02360-4322
Phone
(508) 747-2705
Fax
(508) 747-5209
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 56025 MA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 56025 MA

Addresses

Primary practice location

323 Court St
Plymouth, MA 02360-4322

Mailing address

39 Pilgrim Rd
Duxbury, MA 02332-5215
Phone (781) 934-6387

Other identifiers 1

IdentifierTypeStateIssuer
3127591MedicaidMA

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
I20050331001249 MA Practitioner - Psychiatry 0941257091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychology Associates IncGroup PAC ID 8628171501, 10 clinicians

Practice addresses (Care Compare)

323 Court St
Plymouth, MA 02360-4322
Phone (508) 747-2718

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates Inc. Psychiatry CurrentSince Jul 31, 2006 Accepting new patients

Locations

323 Court St
Plymouth, MA 02360
Phone (508) 747-2705

114 High St
Wareham, MA 02571
Phone (508) 295-2699

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/psych-associate

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.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1790760098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PILGRIM RD",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325215",
            "telephone_number": "781-934-6387",
            "fax_number": "508-747-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604322",
            "telephone_number": "508-747-2705",
            "fax_number": "508-747-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIBERGS",
        "first_name": "JURIS",
        "middle_name": "EGILS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "56025",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "56025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127591",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.