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MAX JACOB ROLISON MD
NPI 1356928360
Psychiatry & Neurology - Child & Adolescent Psychiatry in Boston, MA

Active since March 25, 2021PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6680 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Jan 26, 2026, Feb 28, 2025 and 1 more (4 updates tracked since 2021).

About Max Jacob Rolison Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX JACOB ROLISON MD (NPI 1356928360) is an individual child & adolescent psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (1022889) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Yale University School Of Medicine (2021).

NPPES Registry Identity

NPI1356928360
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMAX JACOB ROLISONCredential: MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Phone(617) 355-6680
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1356928360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in MA · 1022889✔ Licensed in CT · 75371
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 75371 (CT), 1022889 (MA)
300 LONGWOOD AVE, Boston, MA 02115
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Secondary Practice Locations 5

Location 12 Brookline PlBrookline, MA 02445-7230 · Phone (617) 355-6000
Location 220 Hope Ave Ste G10Waltham, MA 02453-2717 · Phone (781) 216-1101
Location 3333 Longwood AveBoston, MA 02115-5711 · Phone (617) 355-7476
Location 49 Hope AveWaltham, MA 02453-2741 · Phone (781) 216-2100
Location 5350 George StNew Haven, CT 06511-6617 · Phone (203) 737-7179

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Jacob Rolison Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840690491
PECOS Enrollment IDI20260527000145
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Rolison's NPI number?

The NPI number for Max Rolison is 1356928360. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Max Rolison located?

Max Rolison practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6680.

What is Max Rolison's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Max Rolison enrolled in Medicare?

Yes. Max Rolison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Max Rolison was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.