DR. JEFFERSON BRUCE PRINCE MD
NPI 1891714804
Psychiatry & Neurology - Child & Adolescent Psychiatry in Boston, MA

Active since July 19, 2006PECOS Enrolled
55 FRUIT ST YAW 6900, CHILD & ADOLESCENT PSYCHIATRY, BOSTON, MA 02114(617) 724-5600(617) 726-5567 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jefferson Bruce Prince Md NPPES

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

DR. JEFFERSON BRUCE PRINCE MD (NPI 1891714804) is an individual child & adolescent psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (81600) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1991).

NPPES Registry Identity

NPI1891714804
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JEFFERSON BRUCE PRINCECredential: MD
Location Address55 FRUIT ST YAW 6900, CHILD & ADOLESCENT PSYCHIATRYBoston, MA 02114
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Fax(617) 726-5567
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1991
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1891714804 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
License Licensed in MA · 81600
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 81600 (MA)

Other Identifiers 1

Other725755MA · Tufts Health Plan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jefferson Bruce Prince Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416931555
PECOS Enrollment IDI20040616000090
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 4

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
55 FRUIT ST YAW 6900, CHILD ADOLESCENT PSYCHIATRY
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST YAW 6900, CHILD ADOLESCENT PSYCHIATRY
BOSTON, MA 02114
Psychiatry & Neurology (Child & Adolescent Psychiatry)
55 FRUIT ST YAW 6900, CHILD AND ADOLESCENT PSYCHIATRY
BOSTON, MA 02114
Psychiatry & Neurology (Child & Adolescent Psychiatry)
55 FRUIT ST YAW 6900, CHILD & ADOLESCENT PSYCHIATRY
BOSTON, MA 02114

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 Jefferson Prince's NPI number?

The NPI number for Jefferson Prince is 1891714804. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jefferson Prince located?

Jefferson Prince practices at 55 Fruit St Yaw 6900 Child & Adolescent Psychiatry, Boston, MA 02114. The listed phone number is (617) 724-5600.

What is Jefferson Prince's specialty?

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

Is Jefferson Prince enrolled in Medicare?

Yes. Jefferson Prince is registered in the Medicare PECOS enrollment system.

What insurance does Jefferson Prince accept?

Health plans from Harvard Pilgrim Health Care list Jefferson Prince 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 Jefferson Prince was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.