Healthcare Provider Details
I. General information
NPI: 1609797893
Provider Name (Legal Business Name): PANORAMIC PSYCHIATRY GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 BEARFOOT RD STE 200
NORTHBOROUGH MA
01532-1559
US
IV. Provider business mailing address
44 BEARFOOT RD STE 200
NORTHBOROUGH MA
01532-1559
US
V. Phone/Fax
- Phone: 617-915-3518
- Fax:
- Phone: 617-915-3518
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084B0040X |
| Taxonomy | Behavioral Neurology & Neuropsychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
FREEMAN
Title or Position: OWNER
Credential: MD
Phone: 617-915-3518