Shivkumar H Jha, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

230640 Issued in MA

Practice address

23 Wyman Rd
Lexington, MA 02420-3237

Phone

(617) 817-6041

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anadyne Psychotherapy, Inc.

  • Clinical Social Worker
  • Norwood, MA
  • NPI 1336442813
  NPD (past)
• Bournewood Clinical Associates

  • Nurse Practitioner
  • Brookline, MA
  • NPI 1891780144

  Psychiatry

  NPD (past)
• First Psychiatric Planners, Inc

  dba Bournewood Hospital

  • Psychiatric Hospital
  • Brookline, MA
  • NPI 1093714412
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1881751204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WYMAN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203237",
            "telephone_number": "617-817-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WYMAN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203237",
            "telephone_number": "617-817-6041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Girard Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871062227",
            "country_code": "US",
            "telephone_number": "617-817-6041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHA",
        "first_name": "SHIVKUMAR",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "230640",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N8523",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NM",
            "license": "MD2012-0864",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "N8523",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "KS",
            "license": "04-43144",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "DC",
            "license": "MD044042",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "230640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Steinberg LMHC LLC
• Jerry Wacks, MD
• JG Home Health Care Services LLC (Interim HealthCare Inc)
• JG Therapy LLC
• Jgtherapy
• Ke Jiang
• Jill Furumoto (Whole Moments Therapy and Wellness)
• Chelsea Jones
• Kerrie Jongeneelen, PSY.D.
• Judith Victoria Jordan, PH.D.

• Geriatric Psychiatry Physician in Lexington, MA
• Providers in Lexington, MA by specialty
• Geriatric Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.