Active NPI
Philip B. Kraft, M. D.
- Psychiatry Physician
- Chelsea, MA
National Provider Identifier
1821079724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 41242
- Practice address
- 800 Broadway
Chelsea, MA 02150-3016 - Phone
- (617) 884-8840
- Fax
- (617) 884-7755
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 41242 | MA | Primary |
Addresses
Primary practice location
800 Broadway
Chelsea, MA 02150-3016
Mailing address
50 Delano Ave
Revere, MA 02151-1727
Phone (617) 884-8840
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41242 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1821079724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DELANO AVE",
"city": "REVERE",
"state": "MA",
"postal_code": "021511727",
"telephone_number": "617-884-8840",
"fax_number": "617-884-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BROADWAY",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021503016",
"telephone_number": "617-884-8840",
"fax_number": "617-884-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "PHILIP",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "41242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.