Square Psychiatry
Social Worker, Clinical in Watertown, Massachusetts
1609997667- Practice location
- 124 Watertown St, Watertown, MA 02472-2576
- Phone
- 617-926-8200
- Fax
- —
- Last updated
- September 11, 2025
Square Psychiatry is a healthcare organization based in Watertown, MA. Square Psychiatry practices in Watertown, MA. The NPI Number for Square Psychiatry is 1609997667 and holds a License No. 43500 (MA). The current practice location address for Square Psychiatry is 124 Watertown St, Watertown, MA 02472-2576 and can be reached out via phone at 617-926-8200.
Provider Profile Details
- NPI Number
- 1609997667
- Provider Name
- Square Psychiatry
- Provider Entity Type
- Organization
- Address
- 124 Watertown St, Watertown, MA 02472-2576
- Phone Number
- 617-926-8200
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Brian Johnson, MD · Owner · 617-926-8300
- Provider Enumeration Date
- April 3, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Watertown St
Watertown, MA 02472-2576 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-2576
- Phone Number
- 617-926-8200
Provider Business Mailing Address Details
- Address
- 124 Watertown St
Watertown, MA 02472-2576 - City
- Watertown
- State
- MA
- Zip
- 02472-2576
- Phone Number
- 617-926-8200
License Information
- License Number (1)
- 43500
- License State (1)
- MA
- Taxonomy (1)
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
- License Number (2)
- 1023920
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Watertown, MA
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- Alison C Siersdale, LICSWSocial Worker, Clinical · NPI 1831776236
- Aviva Jacobstein, LICSWSocial Worker, Clinical · NPI 1275196743
- Brittany L Cunningham, LICSWSocial Worker, Clinical · NPI 1417432345
- Bryna D HackettSocial Worker, Clinical · NPI 1699127852
Frequently Asked Questions
What is the NPI number of Square Psychiatry?
The NPI number of Square Psychiatry is 1609997667. It was assigned on April 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Square Psychiatry?
Square Psychiatry is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 43500.
Where does Square Psychiatry practice?
The practice location is 124 Watertown St, Watertown, MA 02472-2576. The office can be reached at 617-926-8200 (phone).
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 1609997667 directly on the NPPES registry website.