1. Home
  2. Directory
  3. Massachusetts
  4. Devens
  5. Psychiatry Neurology
  6. NPI Profile

ETHAN LINDENBAUM DO
NPI 1801423983
Psychiatry & Neurology - Child & Adolescent Psychiatry in Devens, MA

Active since March 26, 2020PECOS Enrolled
85 PATTON RD, DEVENS, MA 01434(978) 615-5200 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Lindenbaum Do NPPES

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

ETHAN LINDENBAUM DO (NPI 1801423983) is an individual child & adolescent psychiatry provider in Devens, Massachusetts, licensed in Massachusetts (295145) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801423983
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameETHAN LINDENBAUMCredential: DO
Location Address85 PATTON RDDevens, MA 01434-4401
Mailing Address85 Patton RdDevens, MA 01434-4401
Phone(978) 615-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1801423983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MA · 295145
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.
85 PATTON RD, Devens, MA 01434
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Lindenbaum Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274952940
PECOS Enrollment IDI20251231003971
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 17

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

SOPHIA KHALIFA
Nurse Practitioner (Psychiatric/Mental Health)
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5200
ERIC STUART HALL RPH
Pharmacist
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5230
DR. JEAN D. MESQUITA MELLO MD
Psychiatry & Neurology (Psychiatry)
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5200
DEVENS TREATMENT & RECOVERY CENTER, LLC
Psychiatric Hospital
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5200
KENDRA BETH MUNKACSY PA-C
Physician Assistant
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5200
MRS. KRISTEN ANN HICKEY RN
Nurse Practitioner (Psychiatric/Mental Health)
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5200
ALISON BALLANTYNE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5200
MRS. KENDRA MARIE MALTAIS LCSW
Social Worker (Clinical)
85 PATTON RD
DEVENS, MA 01434
Worcester County (978) 615-5216

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 Ethan Lindenbaum's NPI number?

The NPI number for Ethan Lindenbaum is 1801423983. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Ethan Lindenbaum located?

Ethan Lindenbaum practices at 85 Patton Rd, Devens, MA 01434. The listed phone number is (978) 615-5200.

What is Ethan Lindenbaum's specialty?

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

Is Ethan Lindenbaum enrolled in Medicare?

Yes. Ethan Lindenbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Lindenbaum was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.