Individual provider Active NPI

Robert Benjamin Diener, M.D.

  • Psychiatry Physician
  • Bridgewater, MA
National Provider Identifier
1881884989
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
73381 Issued in MA
Practice address
Bridgewater State Hospital
24 Administration Rd.
Bridgewater, MA 02234
Phone
(508) 279-4500
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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 73381 MA Primary

Addresses

Primary practice location

Bridgewater State Hospital
24 Administration Rd.
Bridgewater, MA 02234

Mailing address

40 Hall St
#2
Jamaica Plain, MA 02130-3220
Phone (508) 279-4500

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
I20151112001039 MA Practitioner - Psychiatry 9739499278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Cove Human Services, IncGroup PAC ID 6103921184, 4 clinicians

Practice addresses (Care Compare)

66 Canal St
Boston, MA 02114-2002
Phone (617) 619-5900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jul 22, 2015 Accepting new patients
Bay Cove Human Services Inc CurrentSince Jan 3, 2017 Accepting new patients
Bay Cove Human Services, Inc CurrentSince Jan 3, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 22, 2015 Accepting new patients
Bay Cove Human Services, Inc Past Accepting new patients

Locations

66 Canal St
Boston, MA 02114
Phone (617) 371-3040

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

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

62 Brown St
#507
Haverhill, MA 01830
Phone (978) 722-7818

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1881884989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HALL ST",
            "address_2": "#2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303220",
            "telephone_number": "508-279-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIDGEWATER STATE HOSPITAL",
            "address_2": "24 ADMINISTRATION RD.",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02234",
            "telephone_number": "508-279-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENER",
        "first_name": "ROBERT BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "73381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.