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

Dr. Maria C Prom de Illanes, MD

Individual provider Psychosomatic Medicine Physician · NPI 1710390851

Dr. Maria C Prom de Illanes, MD is a Psychiatry in Boston, Massachusetts. Graduated from Vanderbilt University School of Medicine in 2014, 12 years ago. Practices with Boston University Psychiatry Associates, Inc, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Trained at
Vanderbilt University School of Medicine
Licensed in
MA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone: (617) 414-5245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Massachusetts General Hospital, Boston, MA 02114 — (617) 724-5600

Specialties & licences

Psychosomatic Medicine Physician (primary) Taxonomy 2084P0015X · Licence 269371 (MA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 269371 (MA)

Record details

NPI number1710390851
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Boston University Psychiatry Associates, Inc. — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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