Healthcare Provider Details

I. General information

NPI: 1578352720
Provider Name (Legal Business Name): CAROLINE FU PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 HAMPSHIRE ST
CAMBRIDGE MA
02139-1387
US

IV. Provider business mailing address

245 FIRST ST STE 18
CAMBRIDGE MA
02142-1292
US

V. Phone/Fax

Practice location:
  • Phone: 617-401-8838
  • Fax: 617-843-9948
Mailing address:
  • Phone: 617-401-8838
  • Fax: 617-843-9948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLINE FU
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 713-385-4525