Organization Active NPI

Pinnacle Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1013716273
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PINNACLE PSYCHIATRIC CARE LLC
Practice address
439 Washington St FL 2
Braintree, MA 02184-4745
Phone
(617) 230-9654
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Lillian DerosaNPI 1609384221
Title
Owner
Phone
(617) 230-9654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

439 Washington St FL 2
Braintree, MA 02184-4745

Mailing address

439 Washington St FL 2
Braintree, MA 02184-4745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250530002973 MA Part B Supplier - Clinic/Group Practice 9638688716 Receives reassigned benefits from 1 practitioner
Practice locations: Braintree, MA

National Provider Directory

National Provider Directory

Locations

439 Washington St
Fl 2
Braintree, MA 02184
Phone (617) 990-0552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1013716273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WASHINGTON ST FL 2",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 WASHINGTON ST FL 2",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844745",
            "telephone_number": "617-230-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-230-9654"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.