Individual provider Active NPI

Vincent Desantis, M.D.

  • Psychiatry Physician
  • Wellesley, MA
National Provider Identifier
1811943137
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
49406 Issued in MA
Practice address
572 Washington St
Wellesley, MA 02482-6418
Phone
(781) 237-7115
NPI assigned
May 26, 2006
Last updated
May 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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 49406 MA Primary

Addresses

Primary practice location

572 Washington St
Wellesley, MA 02482-6418

Mailing address

572 Washington St
Wellesley, MA 02482-6418
Phone (781) 237-7115

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
I20050728000115 MA Practitioner - Psychiatry 4981632353 Reassigns benefits to 3 organizations
Practice locations: Wellesley, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Connecticut School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHM Services IncGroup PAC ID 4183637929, 22 clinicians

Practice addresses (Care Compare)

115 Lincoln St
Framingham, MA 01702-6342
Phone (508) 383-1012

67 Union St
Natick, MA 01760-7700
Phone (508) 650-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49406MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Psychiatry CurrentSince Jun 27, 2020 Accepting new patients
Beacon Hospice, LLC CurrentSince Jan 1, 2005 Accepting new patients
VHS Acquisition Subsidiary Number 9 Inc Psychiatry CurrentSince Jan 1, 2005 Accepting new patients
VHM Services, Inc. CurrentSince Jan 4, 2016 Accepting new patients
VHM Services Inc CurrentSince Jan 4, 2016 Accepting new patients
VHS Acquisition Subsidiary Number 9 Inc Past Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

67 Union St
Natick, MA 01760
Phone (508) 383-1104

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
Ste 325
Worcester, MA 01608
Phone (508) 363-6196

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1811943137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "781-237-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "781-237-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "49406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.