Active NPI
Donna Marie Mathias, M.D.
- Psychiatry Physician
- Brookline, MA
National Provider Identifier
1912939448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 72596
- Practice address
- 101 Clark Rd
Brookline, MA 02445-5846 - Phone
- (617) 277-1753
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Boston University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
101 Clark Rd
Brookline, MA 02445-5846
Phone (617) 277-1753
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050105000385 | MA | Practitioner - Psychiatry | 0244288413 | Practice locations: Brookline, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72596 | MA | MD | Psychiatry Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 72596 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 Clark Rd
Brookline, MA 02445-5846
Mailing address
101 Clark Rd
Brookline, MA 02445-5846
Phone (617) 277-1753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912939448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CLARK RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024455846",
"telephone_number": "617-277-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CLARK RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024455846",
"telephone_number": "617-277-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAS",
"first_name": "DONNA MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "72596",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.