Individual provider Active NPI

Stuart Edwin Grassian, M.D.

  • Psychiatry Physician
  • Chestnut Hill, MA
National Provider Identifier
1790774867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
37749 Issued in MA
Practice address
401 Beacon St
Chestnut Hill, MA 02467-1102
Phone
(617) 244-3315
Fax
(617) 244-2792
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 37749 MA Primary

Addresses

Primary practice location

401 Beacon St
Chestnut Hill, MA 02467-1102

Mailing address

401 Beacon St
Chestnut Hill, MA 02467-1102
Phone (617) 244-3315

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
I20110509000891 MA Practitioner - Psychiatry 4284810235 Practice locations: Chestnut Hill, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 Beacon St
Chestnut Hill, MA 02467-1102
Phone (617) 244-3315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37749MAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790774867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BEACON ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671102",
            "telephone_number": "617-244-3315",
            "fax_number": "617-244-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BEACON ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671102",
            "telephone_number": "617-244-3315",
            "fax_number": "617-244-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSIAN",
        "first_name": "STUART",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "37749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.