Active NPI
Ronald Schouten, MD
- Forensic Psychiatry Physician
- Boston, MA
National Provider Identifier
1861470213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 57151
- Practice address
- 15 Parkman Street Wac 805
Psychiatry Outpatient Referral Service
Boston, MA 02114 - Phone
- (617) 726-5195
- Fax
- (617) 724-2808
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 57151 | MA | Primary |
| Psychiatry Physician | 2084P0800X | S235135-1 | NY | |
| Psychiatry Physician | 2084P0800X | G71698 | CA |
Addresses
Primary practice location
15 Parkman Street Wac 805
Psychiatry Outpatient Referral Service
Boston, MA 02114
Mailing address
PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 726-5195
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J06126 | Other | MA | BCBS MA |
| 057151 | Other | MA | TUFTS HEALTH PLAN |
| 3024954 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G71698 | CA | MD | Psychiatry Physician |
| S235135-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1861470213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9142",
"address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-726-5195",
"fax_number": "617-724-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN STREET WAC 805",
"address_2": "PSYCHIATRY OUTPATIENT REFERRAL SERVICE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-5195",
"fax_number": "617-724-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOUTEN",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MA",
"license": "57151",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "S235135-1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G71698",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J06126",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "057151",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3024954",
"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 Nov 14, 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.