Eric S Chivian, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33255 Issued in MA

Practice address

Fenway Studios #211
30 Ipswich St.
Boston, MA 02215

Phone

(617) 266-4957

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1982894077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 IPSWICH ST",
            "address_2": "# 211",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153616",
            "telephone_number": "617-266-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FENWAY STUDIOS #211",
            "address_2": "30 IPSWICH ST.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-266-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIVIAN",
        "first_name": "ERIC",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "33255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai-Jen Jerry Chiu, DDS
• Mamie Chiu
• Nicholas Chiu, MD, MPH
• Sheng Zhuang Chiu, LIC. AC.
• Yu-Hsiang Chiu, MS, RD, LDN, CNSC
• Raghu Ram Chivukula, M.D., PH.D.
• Takudzwa Nelson Chiwara
• Chloe Kunstler Nutrition, LLC
• CHMC Anesthesia Foundation Inc (Pediatric Pain Treatment,Pediatric Critical Care)
• CHMC Cardiovascular Surgical Foundation Inc

• Psychiatry Physician in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.