Individual provider Active NPI

Richard Stephen Marcus, M.D.

  • Psychiatry Physician
  • Pembroke, MA
National Provider Identifier
1871660910
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
58999 Issued in MA
Practice address
199 Oak St
Pembroke, MA 02359-1912
Phone
(781) 829-7000
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 58999 MA Primary

Addresses

Primary practice location

199 Oak St
Pembroke, MA 02359-1912

Mailing address

15 Carruth St
Dorchester Center, MA 02124-4927
Phone (617) 282-9011

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
I20121108000664 MA Practitioner - Psychiatry 8729239280 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58999MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Westwood Pembroke Inc Psychiatric Hospital CurrentSince Aug 19, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 21, 2020 Accepting new patients
Child & Family Services, Inc. CurrentSince Aug 19, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 21, 2020 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

199 Oak St
Pembroke, MA 02359
Phone (781) 829-7000

45 Clapboardtree St
Westwood, MA 02090
Phone (781) 762-7764

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1871660910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CARRUTH ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021244927",
            "telephone_number": "617-282-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OAK ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591912",
            "telephone_number": "781-829-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "58999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

Verify at the official NPI Registry.