Individual provider Active NPI

Deborah K Manegold, M.D.

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1902845902
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
209889 Issued in MA
Practice address
1842 Beacon St Ste 402
Brookline, MA 02445-1922
Phone
(781) 690-1317
Fax
(617) 353-5614
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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 209889 MA Primary

Addresses

Primary practice location

1842 Beacon St Ste 402
Brookline, MA 02445-1922

Mailing address

8 Meadowbrook Rd
Lincoln, MA 01773-4113
Phone (781) 259-8908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1902845902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEADOWBROOK RD",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017734113",
            "telephone_number": "781-259-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 402",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451922",
            "telephone_number": "781-690-1317",
            "fax_number": "617-353-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEGOLD",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "209889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.