Individual provider Active NPI

Maitri R Patel, MD

  • Child & Adolescent Psychiatry Physician
  • Framingham, MA
National Provider Identifier
1912945213
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
217414 Issued in MA
Practice address
1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone
(508) 834-3183
Fax
(508) 532-1168
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 217414 MA Primary

Addresses

Primary practice location

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410

Mailing address

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone (508) 834-3183

Other practice location 1

201 Great Rd Ste 202
Acton, MA 01720-5700
Phone (508) 834-3183

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
I20050519000457 MA Practitioner - Psychiatry 4486695418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Warren Alpert Medical School of Brown University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Therapeutics LLCGroup PAC ID 9638234750, 13 clinicians

Practice addresses (Care Compare)

1881 Worcester Rd
Suite 203
Framingham, MA 01701-5410
Phone (508) 834-3183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217414MAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Therapeutics LLC Psychiatry CurrentSince Oct 22, 2008 Accepting new patients
Longwood Psychiatry LLC Psychiatry PastSince May 1, 2006 Accepting new patients

Locations

201 Great Rd
Ste 202
Acton, MA 01720
Phone (508) 834-3181

463 Worcester Rd
Ste 401
Framingham, MA 01701
Phone (508) 834-3183

600 Worcester Rd
Ste 203
Framingham, MA 01702
Phone (508) 834-3183

1881 Worcester Rd
Ste 203
Framingham, MA 01701
Phone (508) 834-3183

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1912945213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Great Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017205700",
            "country_code": "US",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAITRI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "217414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.