Amy Funkenstein, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

249885 Issued in MA

Practice address

83 Leonard St Ste 8
Belmont, MA 02478

Phone

(617) 383-9649

Fax

(617) 489-2597

NPI assigned

Apr 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1801038021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 LEONARD ST STE 8",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782508",
            "telephone_number": "617-383-9649",
            "fax_number": "617-489-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 LEONARD ST STE 8",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-383-9649",
            "fax_number": "617-489-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKENSTEIN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD14264",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "249885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD14264",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elan N French
• Sarah Ann Frances Friel, MA CCC SLP
• Alan Eric Fruzzetti, PH.D.
• Fuller Consulting Services, LLC
• Steffen R. Fuller, PH.D.
• Amy E Gagliardi, M.D.
• Aaron Galaznik, MD
• Gillian Galen, PSY.D.
• Steven Lee Gans, M.D.
• Mamigon M Garabedian, M.D.

• Child & Adolescent Psychiatry Physician in Belmont, MA
• Providers in Belmont, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.