Organization Active NPI

Boston Psychiatric Alliance

  • Psychiatry Physician
  • Milton, MA
National Provider Identifier
1891577664
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BOSTON PSYCHIATRIC ALLIANCE
Practice address
26 Wolcott Rd
Milton, MA 02186-1222
Phone
(617) 291-1440
Fax
(617) 361-1105
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Jan Peter Urkevic, MDNPI 1609983741
Title
Director/President
Phone
(617) 291-1440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

26 Wolcott Rd
Milton, MA 02186-1222

Mailing address

26 Wolcott Rd
Milton, MA 02186-1222
Phone (617) 291-1440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1891577664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WOLCOTT RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861222",
            "telephone_number": "617-291-1440",
            "fax_number": "617-361-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WOLCOTT RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861222",
            "telephone_number": "617-291-1440",
            "fax_number": "617-361-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PSYCHIATRIC ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "URKEVIC",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "617-291-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.