Individual provider Active NPI

Michael Liebowitz, MD

  • Psychiatry Physician
  • Dartmouth, MA
National Provider Identifier
1821150129
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
158438 Issued in MA
Practice address
581 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 207-9800
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Adult Mental Health Clinic/Center 261QM0850X 158438 MA
Psychiatry Physician 2084P0800X 158438 MA Primary

Addresses

Primary practice location

581 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

1233 State Rd
Plymouth, MA 02360-5133
Phone (508) 503-2423

Other practice location 1

1233 State Rd
Plymouth, MA 02360-5133
Phone (508) 503-2423

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
I20070406000014 MA Practitioner - PsychiatryPractitioner - Addiction Medicine 8527162270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
New York University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Behavioral Health LLCGroup PAC ID 7517287444, 18 clinicians

Practice addresses (Care Compare)

581 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 207-9800

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health, LLC Adult Mental Health CurrentSince Nov 13, 2017 Accepting new patients

Locations

581 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 207-9800

Interoperability endpoints

  • Direct secure messaging: mliebowitz41371@direct.southcoast.org

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.

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1821150129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 STATE RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605133",
            "telephone_number": "508-503-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-207-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 State Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023605133",
            "country_code": "US",
            "telephone_number": "508-503-2423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBOWITZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "158438",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "158438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.