Provider Demographics
NPI:1376045682
Name:CAMBRIDGE PSYCHIATRY LLC
Entity Type:Organization
Organization Name:CAMBRIDGE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-444-9963
Mailing Address - Street 1:1105 MASSACHUSETTS AVE STE 1D
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5207
Mailing Address - Country:US
Mailing Address - Phone:617-444-9963
Mailing Address - Fax:
Practice Address - Street 1:1105 MASSACHUSETTS AVE
Practice Address - Street 2:STE 1D
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-5207
Practice Address - Country:US
Practice Address - Phone:617-444-9963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-02
Last Update Date:2018-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty