Active NPI
Mark J Goldblatt, M.D.
- Psychiatry Physician
- Cambridge, MA
National Provider Identifier
1992752687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 56176
- Practice address
- 1105 Massachusetts Ave
Suite 2C
Cambridge, MA 02138-5220 - Phone
- (617) 354-4600
- NPI assigned
- May 28, 2006
- Sex
- Male
- 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 | 56176 | MA | Primary |
Addresses
Primary practice location
1105 Massachusetts Ave
Suite 2C
Cambridge, MA 02138-5220
Mailing address
1105 Massachusetts Ave
Suite 2C
Cambridge, MA 02138-5220
Phone (617) 354-4600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050329001260 | MA | Practitioner - Psychiatry | 0244286573 | Practice locations: Cambridge, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1105 Massachusetts Ave
Cambridge, MA 02138-5207
Phone (617) 354-4600
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": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992752687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 MASSACHUSETTS AVE",
"address_2": "SUITE 2C",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385220",
"telephone_number": "617-354-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 MASSACHUSETTS AVE",
"address_2": "SUITE 2C",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385220",
"telephone_number": "617-354-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBLATT",
"first_name": "MARK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "56176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.