Individual provider Active NPI

Glenn Allen Skwerer, M.D.

  • Psychiatry Physician
  • Watertown, MA
National Provider Identifier
1922047927
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
73949 Issued in MA
Practice address
30 Middlesex Rd
Watertown, MA 02472-4713
Phone
(617) 473-0993
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 73949 MA Primary

Addresses

Primary practice location

30 Middlesex Rd
Watertown, MA 02472-4713

Mailing address

1024 Belmont St
Watertown, MA 02472-1029
Phone (617) 489-7975

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
I20050503001266 MA Practitioner - Psychiatry 3476593021 Practice locations: Walpole, MA; Woburn, MA; Winchester, MA; Westford, MA; Watertown, MA; Waltham, MA; Norwood, MA; N Reading, MA…

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Connecticut School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

160 Main St
Harrington House
Walpole, MA 02081-4037
Phone (508) 660-3080

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": "1783900800000",
    "number": "1922047927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 BELMONT ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721029",
            "telephone_number": "617-489-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MIDDLESEX RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724713",
            "telephone_number": "617-473-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKWERER",
        "first_name": "GLENN ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "73949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.