Provider Demographics
NPI:1952511065
Name:FELDMAN, JAMIE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LYNN
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GARDEN TER
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1407
Mailing Address - Country:US
Mailing Address - Phone:617-661-2590
Mailing Address - Fax:617-876-1237
Practice Address - Street 1:6 GARDEN TER
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1407
Practice Address - Country:US
Practice Address - Phone:617-661-2590
Practice Address - Fax:617-876-1237
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA481762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC04953OtherBLUE CROSS BLUE SHIELD