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

Q: 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.

Q: 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.

Q: 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 13 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.

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: October 25, 2026.

On this page

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

Phone(617) 724-5600

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

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jefferson Prince reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mass General Brigham Medical Group Northern Massachusetts Inc

Emergency Medicine

81 HIGHLAND AVE
Salem, MA 01970

Reassigned Medicare billing, Massachusetts enrollment
994 clinicians in this Medicare group

NPI 1588606123 (978) 354-4173

Massachusetts General Physicians Organization Inc

Dermatology

55 FRUIT ST, BUL 2
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
6,360 clinicians in this Medicare group

NPI 1801874573 (617) 724-0287

North Shore Medical Center, Inc.

General Acute Care Hospital

81 HIGHLAND AVE
Salem, MA 01970

Reassigned Medicare billing, Massachusetts enrollment
94 clinicians in this Medicare group

NPI 1730121633 (978) 354-2065

The General Hospital Corporation

General Acute Care Hospital

55 FRUIT ST, BULFINCH 360
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
6,234 clinicians in this Medicare group

NPI 1023049236 (617) 726-2000

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 4

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

DR. DONALD BRYANT CONDIE MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

55 FRUIT ST YAW 6900, CHILD ADOLESCENT PSYCHIATRY
BOSTON, MA 02114

Suffolk County (617) 724-5560

DR. RICHARD D GINSBURG PHD

Psychiatry & Neurology (Psychiatry)

55 FRUIT ST YAW 6900, CHILD ADOLESCENT PSYCHIATRY
BOSTON, MA 02114

Suffolk County (617) 724-6300

DR. THOMAS J SPENCER MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

55 FRUIT ST YAW 6900, CHILD AND ADOLESCENT PSYCHIATRY
BOSTON, MA 02114

Suffolk County (617) 726-2724

DR. LISA PRICE MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

55 FRUIT ST YAW 6900, CHILD & ADOLESCENT PSYCHIATRY
BOSTON, MA 02114

Suffolk County (617) 724-6300

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.

Which organizations bill Medicare for Jefferson Prince's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jefferson Prince reassigns Medicare benefits to 4 organizations: Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA), Massachusetts General Physicians Organization Inc (Boston, MA), North Shore Medical Center, Inc. (Salem, MA) and The General Hospital Corporation (Boston, 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 Jefferson Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jefferson Prince accept?

Health plans from Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan 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 13 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.