ETHAN LINDENBAUM DO
NPI 1801423983
Psychiatry & Neurology - Child & Adolescent Psychiatry in Devens, MA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethan Lindenbaum Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ethan Lindenbaum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Devens, MA 01434
- Reassigned Medicare billing, Massachusetts enrollment
- 76 clinicians in this Medicare group
Holyoke, MA 01040
- Reassigned Medicare billing, Massachusetts enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
DEVENS, MA 01434
DEVENS, MA 01434
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.
Which organizations bill Medicare for Ethan Lindenbaum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Lindenbaum reassigns Medicare benefits to 2 organizations: Devens Treatment & Recovery Center, LLC (Devens, MA) and Holyoke Capital Jv, LLC (Holyoke, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Lindenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.
# Ethan Lindenbaum, DO · NPI 1801423983
Child & Adolescent Psychiatry physician in Devens, Massachusetts. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1801423983 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 295145 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 85 PATTON RD, Devens, MA 01434-4401
- **Phone:** (978) 615-5200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Devens Treatment & Recovery Center, LLC (NPI 1811473267, Devens, MA); Holyoke Capital Jv, LLC (NPI 1649856618, Holyoke, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801423983) · Data from the CMS NPPES public registry.