Active NPI
Martha Collins, MD
- Child & Adolescent Psychiatry Physician
- South Boston, MA
National Provider Identifier
1841254000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 48283
- Practice address
- 58 Old Colony Ave
South Boston, MA 02127-2406 - Phone
- (617) 268-1700
- Fax
- (617) 268-1991
- NPI assigned
- Apr 14, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 48283 | MA | Primary |
Addresses
Primary practice location
58 Old Colony Ave
South Boston, MA 02127-2406
Mailing address
14 Curve St
Lexington, MA 02420-3906
Phone (781) 862-3207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48283 | MA | MD | Child & Adolescent Psychiatry Physician |
Interoperability endpoints
- mcollins29837@tuftsmedicine.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1841254000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CURVE ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203906",
"telephone_number": "781-862-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 OLD COLONY AVE",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021272406",
"telephone_number": "617-268-1700",
"fax_number": "617-268-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "48283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.