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DR. PAUL A CANNISTRARO M.D.
NPI 1639165988
Psychiatry & Neurology - Psychiatry in Cambridge, MA

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
12 ARROW ST STE 210, CAMBRIDGE, MA 02138(617) 460-1053(617) 848-9485 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Paul A Cannistraro M.d. NPPES

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

DR. PAUL A CANNISTRARO M.D. (NPI 1639165988) is an individual psychiatry provider in Cambridge, Massachusetts, licensed in Massachusetts (215892) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1998).

NPPES Registry Identity

NPI1639165988
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PAUL A CANNISTRAROCredential: M.D.
Location Address12 ARROW ST STE 210Cambridge, MA 02138-5105
Mailing Address12 Arrow St Ste 210Cambridge, MA 02138-5105 · (617) 460-1053 · Fax (617) 848-9485
Phone(617) 460-1053
Fax(617) 848-9485
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1998
Enumeration DateSeptember 22, 2005
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1639165988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 215892
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12 ARROW ST STE 210, Cambridge, MA 02138
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Other Identifiers 3

Medicaid2042291MA
OtherJ27378MA · Blue Cross Blue Shield
Other469409MA · Tufts Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul A Cannistraro M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476531690
PECOS Enrollment IDI20040713000533
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
204 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
204 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. MARIANNA LEAVY-SPEROUNIS PSY.D.
Psychologist
12 ARROW ST STE 210
CAMBRIDGE, MA 02138
Middlesex County (617) 682-0646
DR. SUSANNE R. HASKELL PSY.D.
Psychologist (Clinical)
12 ARROW ST STE 210
CAMBRIDGE, MA 02138
Middlesex County (617) 939-3422
DR. AMY R FINGLAND PSY.D.
Psychologist (Clinical)
12 ARROW ST STE 210
CAMBRIDGE, MA 02138
Middlesex County (617) 453-8139

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 Paul Cannistraro's NPI number?

The NPI number for Paul Cannistraro is 1639165988. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Paul Cannistraro located?

Paul Cannistraro practices at 12 Arrow St Ste 210, Cambridge, MA 02138. The listed phone number is (617) 460-1053.

What is Paul Cannistraro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paul Cannistraro enrolled in Medicare?

Yes. Paul Cannistraro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Cannistraro accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Paul Cannistraro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Cannistraro was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.