IndividualActive
John Renner, M.D.
NPI 1205937026 · Addiction Psychiatry Physician · Boston, MA
Provider details
- NPI number
- 1205937026
- Entity type
- Individual
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29371 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
251 Causeway St
Va Outpatient Clinic
Boston, MA 02114-2148
Phone: (617) 248-1022
Fax: (617) 248-1121
Street-level locationGet directions
Mailing address
11 Braddock Park
Boston, MA 02116-5816
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.