OrganizationActive
Theodore P. Wasik, M.D.
NPI 1780996397 · Psychiatry Physician · Cambridge, MA
Provider details
- NPI number
- 1780996397
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theodore Wasik, Psychiatrist(267) 251-0756
- License
- 243789 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1679 Massachusetts Ave
First Floor
Cambridge, MA 02138-1877
Phone: (267) 251-0756
Street-level locationGet directions
Mailing address
1679 Massachusetts Ave
Cambridge, MA 02138-1877
Registry dates
- Enumerated
- 2010-07-12
- Last updated
- 2010-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.