Individual provider Active NPI

Manjola Van Alphen, MD, PHD, MBA

  • Psychiatry Physician
  • Chelsea, MA
National Provider Identifier
1871745125
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
237300 Issued in MA
Practice address
301 Broadway
Chelsea, MA 02150-2807
Phone
(617) 912-7900
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 237300 MA Primary

Addresses

Primary practice location

301 Broadway
Chelsea, MA 02150-2807

Mailing address

301 Broadway
Chelsea, MA 02150-2807

Other names 1

  • Dr. Manjola Ujkaj Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, PA, IN, IL, TX, AZ7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20121026000375 MA Practitioner - Psychiatry 9234389354 Reassigns benefits to 1 organization
I20250128001530 FL Practitioner - Psychiatry 9234389354 Reassigns benefits to 1 organization
I20260401001090 PA Practitioner - Psychiatry 9234389354 Reassigns benefits to 1 organization
I20260608004076 IN Practitioner - Psychiatry 9234389354 Reassigns benefits to 1 organization
I20260610001694 IL Practitioner - Psychiatry 9234389354 Reassigns benefits to 1 organization
I20260616004828 TX Practitioner - Psychiatry 9234389354 Reassigns benefits to 1 organization
I20260619001383 AZ Practitioner - Psychiatry 9234389354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

47 High St
Suite 7
Medford, MA 02155-3808

47 High St
Suite 7
Medford, MA 02155-4676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
237300MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
The McLean Hospital Corporation Psychiatry CurrentSince Oct 4, 2012 Accepting new patients
Atrius Health, Inc. CurrentSince May 16, 2022 Accepting new patients
Author Health Professionals, PC Psychiatry CurrentSince Nov 17, 2024 Accepting new patients
Atrius Health, Inc. CurrentSince May 16, 2022 Accepting new patients

Locations

2425 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (800) 858-1714

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

330 N Wabash Ave
Fl 23
Chicago, IL 60611

801 Shelby St
Indianapolis, IN 46203
Phone (317) 210-1008

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

47 High St
Medford, MA 02155
Phone (210) 213-3660

900 Haddon Ave
Ste 3049
Collingswood, NJ 08108

1100 Ludlow St
Philadelphia, PA 19107

2700 Post Oak Blvd
Ste 2100
Houston, TX 77056

Interoperability endpoints

  • Direct secure messaging: ujkaj.manjola.mgh@direct.partners.masshiway.net

Organizations & group practices 5

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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1871745125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502807",
            "telephone_number": "617-912-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ALPHEN",
        "first_name": "MANJOLA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "237300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJOLA",
            "last_name": "UJKAJ",
            "prefix": "DR.",
            "credential": "MD, PHD, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.