Active NPIIndividual providerSole proprietor

Dr. Kenneth C Potts, MD

Psychiatry & Neurology, Psychiatry in Jamaica Plain, Massachusetts

NPI Number1043384514
Practice location
1153 Centre St, Jamaica Plain, MA 02130-3446
Fax
617-983-7455
Last updated
July 8, 2007

Kenneth C Potts is a Psychiatry & Neurology, Psychiatry based in Jamaica Plain, MA. Kenneth C Potts practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Kenneth C Potts is 1043384514 and holds a License No. 54708 (MA). The current practice location address for Kenneth C Potts is 1153 Centre St, Jamaica Plain, MA 02130-3446 and can be reached out via phone at 617-983-7926 and via fax at 617-983-7455.

Provider Profile Details

NPI Number
1043384514
Provider Name
Kenneth C Potts
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1153 Centre St, Jamaica Plain, MA 02130-3446
Phone Number
617-983-7926
Fax Number
617-983-7455
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1153 Centre St
Jamaica Plain, MA 02130-3446
Zip
02130-3446
Phone Number
617-983-7926
Fax Number
617-983-7455
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
7 Cabot RD
Wayland, MA 01778-3707
City
Wayland
State
MA
Zip
01778-3707

License Information

License Number
54708
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth C Potts, MD?

The NPI number of Dr. Kenneth C Potts, MD is 1043384514. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth C Potts, MD?

Dr. Kenneth C Potts, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 54708.

Where does Dr. Kenneth C Potts, MD practice?

The practice location is 1153 Centre St, Jamaica Plain, MA 02130-3446. The office can be reached at 617-983-7926 (phone) or 617-983-7455 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043384514 directly on the NPPES registry website.

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