DR. DAVID BRANDEIS HERZOG MD NPI 1811978638

NPI Information

NPI: 1811978638
Provider Name: DR. DAVID BRANDEIS HERZOG, MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Address:
2 LONGFELLOW PL
SUITE 200
BOSTON, MA
ZIP 02114
Phone: (617) 724-0799
Get Directions

DR. David Brandeis Herzog, MD is a psychiatry psychiatry neurology in Boston, MA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. David Brandeis Herzog, MD NPI is 1811978638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 LONGFELLOW PL
SUITE 200
BOSTON, MA
ZIP 02114-437
Phone: (617) 724-0799
Fax: (617) 726-1595

The enumeration date for this NPI number is 11/9/2005 and was last updated on 8/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		38347	MASSACHUSETTS	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	38347	MASSACHUSETTS	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	38347	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M09907	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	700650	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	B98766	MEDICARE UPIN
4	M09907	OTHER	MASSACHUSETTS	BCBS MA
5	0107433	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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