Square Psychiatry in Watertown - Addiction Medicine
Square Psychiatry - NPI 1609997667
Square Psychiatry is a Addiction Medicine in Watertown, Massachusetts. Square Psychiatry practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Square Psychiatry is 1609997667. The last update date is 2020-08-22.
Square Psychiatry's current location address is 124 Watertown St, Watertown, Massachusetts. You can contact this provider via phone number 6179268200. The mailing address for Square Psychiatry is 124 Watertown St, Watertown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Square Psychiatry |
|---|---|
| Address | 124 Watertown St, Watertown, Massachusetts |
| Phone Number | 6179268200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson Brian |
| Credentials | M.D. |
| Telephone Number | 6179268300 |
NPI Number Detail
| NPI Number | 1609997667 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 124 Watertown St |
|---|---|
| City | Watertown |
| State | Massachusetts (MA) |
| Post Code | 24722576 |
| Phone Number | 6179268200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 43500 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Square Psychiatry by the Centers for Medicare & Medicaid Services?
The Square Psychiatry has been issued the NPI (National Provider Identifier) 1609997667 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Square Psychiatry's facilities are geographically located?
The facilities of Square Psychiatry are physically situated at the following location: 124 Watertown St, Watertown, MA, 24722576.
What is the area of specialization for Square Psychiatry, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Square Psychiatry is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084A0401X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609997667 to Square Psychiatry?
The Centers for Medicare & Medicaid Services assigned the 1609997667 to Square Psychiatry on 2007-04-03.
When was the information regarding Square Psychiatry most recently updated?
The details pertaining to the Square Psychiatry, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.