Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Mahdy

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750978755

Charles Mahdy is a Nurse Practitioner in Waltham, Massachusetts. Qualified in 2020, 6 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

19 Winthrop St Apt 1
Waltham, MA 02453-2831
Phone: (617) 230-8129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2320527 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750978755
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2020
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021
Mailing address19 Winthrop St Apt 1, Waltham, MA 02453-2831

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Waltham