Active NPI
Madhavi Ratnam Prakash, MD PHD
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1811965734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 155703
- Practice address
- 15 Parkman Street
Wacc 812, Department of Psychiatry, MGH
Boston, MA 02114 - Phone
- (617) 726-2000
- Fax
- (617) 726-7541
- NPI assigned
- Mar 8, 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 | 155703 | MA | Primary |
Addresses
Primary practice location
15 Parkman Street
Wacc 812, Department of Psychiatry, MGH
Boston, MA 02114
Mailing address
15 Parkman Street
Wacc 812, Department of Psychiatry, MGH
Boston, MA 02114
Phone (617) 726-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0187887 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Interoperability endpoints
- prakash.madhavi.mgh@direct.partners.masshiway.net
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1811965734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PARKMAN STREET",
"address_2": "WACC 812, DEPARTMENT OF PSYCHIATRY, MGH",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-2000",
"fax_number": "617-726-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN STREET",
"address_2": "WACC 812, DEPARTMENT OF PSYCHIATRY, MGH",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-2000",
"fax_number": "617-726-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAKASH",
"first_name": "MADHAVI",
"middle_name": "RATNAM",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "155703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0187887",
"state": "MA"
}
],
"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 Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.