Active NPI
Jenevieve Duron Treiser, M.D.
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1982999298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 249174
- Practice address
- 800 Washington St
#1007
Boston, MA 02111-1552 - Phone
- (617) 636-7096
- Fax
- (617) 636-4852
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 249174 | MA | Primary |
Addresses
Primary practice location
800 Washington St
#1007
Boston, MA 02111-1552
Mailing address
800 Washington St
#1007
Boston, MA 02111-1552
Phone (617) 636-7096
Other names 1
- Dr. Jenevieve Walther Duron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249174 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Current | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Current | Accepting new patients | |
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
Locations
579 Courtlandt Ave
Bronx, NY 10451
Phone (718) 908-8000
2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100
667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223
17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100
Organizations & group practices 3
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.
-
- Psychologist
- Carmel, NY
- NPI 1720194335
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342310400000",
"number": "1982999298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "#1007",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-7096",
"fax_number": "617-636-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "#1007",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-7096",
"fax_number": "617-636-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREISER",
"first_name": "JENEVIEVE",
"middle_name": "DURON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2012-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "249174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENEVIEVE",
"last_name": "DURON",
"middle_name": "WALTHER",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2012; 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.