Individual provider Active NPI

Erich Berantuo, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1013517341
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2284464 Issued in MA
Practice address
26 Queen St
Worcester, MA 01610-2473
Phone
(347) 241-9661
Fax
(508) 463-2333
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN2284464 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404793 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2284464 MA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2284464 MA
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN2284464 MA

Addresses

Primary practice location

26 Queen St
Worcester, MA 01610-2473

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (508) 463-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220617001549 MA Practitioner - Nurse Practitioner 5092194282 Reassigns benefits to 6 organizations
I20230316001559 NY Practitioner - Nurse Practitioner 5092194282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
T Massachusetts, LLCGroup PAC ID 6901159003, 20 clinicians
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

100 Century Dr
Worcester, MA 01606-1244
Phone (884) 319-0000

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

225 Cedar Hill St
Suite 200
Marlborough, MA 01752-5900
Phone (646) 450-7748

690 Stafford St
Rochdale, MA 01542-1208
Phone (347) 241-9661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2284464MAMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince Aug 22, 2024 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Aug 22, 2024 Accepting new patients
T Massachusetts, LLC CurrentSince Nov 21, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 5, 2025 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Mar 14, 2022 Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Approved Medical Services LLC Psychiatric/Mental Health CurrentSince Nov 3, 2024 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

225 Cedar Hill St
Ste 200
Marlborough, MA 01752
Phone (617) 863-9090

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

100 Century Dr
Worcester, MA 01606
Phone (508) 762-5400

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

134 N 4th St
Brooklyn, NY 11249

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1013517341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "508-463-2333",
            "fax_number": "508-463-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "347-241-9661",
            "fax_number": "508-463-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERANTUO",
        "first_name": "ERICH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "RN2284464",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404793",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2284464",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2284464",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "RN2284464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.