Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

NPI 1386750529

Individual provider · NPI 1386750529 Deactivated

This NPI was deactivated on October 29, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1386750529 practises Psychiatry. Graduated from Northwestern University Feinberg Medical School in 1994, 32 years ago. Works from 3 locations and accepts Medicare assignment.

Years since qualifying
32
Trained at
Northwestern University Feinberg Medical School

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

Additional practice locations (2)

  • 800 Washington St, Boston, MA 02111-1552 — (617) 636-7648
  • 115 Lincoln St, Framingham, MA 01702-6358 — (508) 650-7031

Specialties & licences

Record details

NPI number1386750529
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $26 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.