Individual provider Active NPI

Thiago Godoi, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Natick, MA
National Provider Identifier
1033661277
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2283229 Issued in MA
Practice address
209 W Central St Ste 102
Natick, MA 01760-3716
Phone
(774) 507-0925
Fax
(508) 250-0733
NPI assigned
Nov 3, 2016
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2283229 MA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2283229 MA

Addresses

Primary practice location

209 W Central St Ste 102
Natick, MA 01760-3716

Mailing address

209 W Central St Ste 102
Natick, MA 01760-3716
Phone (774) 507-0925

Other practice location 1

1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone (150) 887-9980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170915000685 MA Practitioner - Nurse Practitioner 7618241506

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2283229MAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: godoi.thiago.mgh@direct.partners.masshiway.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1033661277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST STE 102",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603716",
            "telephone_number": "774-507-0925",
            "fax_number": "508-250-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST STE 102",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603716",
            "telephone_number": "774-507-0925",
            "fax_number": "508-250-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Frederick Abbott Way",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017017992",
            "country_code": "US",
            "telephone_number": "150-887-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODOI",
        "first_name": "THIAGO",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2283229",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2283229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.