Individual provider Active NPI

Peter P Schuntermann, MD

  • Child & Adolescent Psychiatry Physician
  • Waban, MA
National Provider Identifier
1922176734
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
30550 Issued in MA
Practice address
200 Allen Ave
Waban, MA 02468-1722
Phone
(617) 969-4877
Fax
(617) 969-2164
NPI assigned
Dec 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30550 MA
Child & Adolescent Psychiatry Physician 2084P0804X 30550 MA Primary

Addresses

Primary practice location

200 Allen Ave
Waban, MA 02468-1722

Mailing address

200 Allen Ave
Waban, MA 02468-1722
Phone (617) 969-4877

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
I20050603000598 MA Practitioner - Psychiatry 2264475987 Practice locations: Waban, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1959
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Allen Ave
Waban, MA 02468-1722
Phone (617) 965-3740

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922176734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALLEN AVE",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681722",
            "telephone_number": "617-969-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALLEN AVE",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681722",
            "telephone_number": "617-969-4877",
            "fax_number": "617-969-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUNTERMANN",
        "first_name": "PETER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "30550",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "30550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waban, MA

Sources for this page

Verify at the official NPI Registry.