Healthcare Provider Details

I. General information

NPI: 1083635882
Provider Name (Legal Business Name): LINDA MARIE FORSYTHE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 HIGH STREET CTN CHARLESTOWN HEALTHCARE CENTER
CHARLESTOWN MA
02129-3096
US

IV. Provider business mailing address

73 HIGH ST FL 3
CHARLESTOWN MA
02129-3037
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-8011
  • Fax: 617-726-3514
Mailing address:
  • Phone: 617-724-8200
  • Fax: 617-726-3514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number75814
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number75814
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: