St. Vincent Psychiatry Associates

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ST. VINCENT PSYCHIATRY ASSOCIATES

Practice address

123 Summer St
Department of Psychiatry
Worcester, MA 01608-1216

Phone

(508) 869-2699

NPI assigned

Oct 28, 2006

Organization subpart

No

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

Authorized official

Name

Serge Botsaris, MDNPI 1679528095

Title

Manager

Phone

(508) 869-2699

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Serge D Botsaris, M.D.

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1679528095
  NPD (past) Authorized official

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992881288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-869-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT PSYCHIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOTSARIS",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-869-2699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9733060",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam David St. Jean
• Jerrika St. John
• Juli St. Laurent
• Dale G St. Lawrence, MD
• Diane S. St. Onge, NP
• Susan Jean St.Germain
• Karen Lynn St.Laurent, D.C.
• Stacey J Rutherford, Licsw P.C.
• Stacy Marie Stackrow, B.S.
• Tessa Stacy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.