Individual provider Active NPI

Mary Culliton, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Wellesley Hills, MA
National Provider Identifier
1083687487
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
234315 Issued in MA
Practice address
53 Prospect St
Wellesley Hills, MA 02481-3308
Phone
(617) 915-5268
Fax
(781) 705-3008
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 234315 MA Primary

Addresses

Primary practice location

53 Prospect St
Wellesley Hills, MA 02481-3308

Mailing address

53 Prospect St
Wellesley Hills, MA 02481-3308
Phone (617) 915-5268

Other identifiers 1

IdentifierTypeStateIssuer
0378861MedicaidMA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000607 MA Practitioner - Certified Nurse Midwife (CNM) 8628056066

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

355 Waverley Oaks Rd
Suite 275
Waltham, MA 02452-8477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234315MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services CurrentSince May 20, 2017 Accepting new patients
Mary Culliton CNM, Pmhnp Psychiatric/Mental Health CurrentSince Dec 28, 2025 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince May 20, 2017 Accepting new patients
Massachusetts Institute of Technology Past Accepting new patients

Locations

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

20 Hope Ave
Ste 110
Waltham, MA 02453
Phone (781) 647-6556

355 Waverly Oaks Rd
Ste 275
Waltham, MA 02452
Phone (781) 893-5550

Interoperability endpoints

  • Direct secure messaging: mculliton251714@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.culliton.1@86.direct.athenahealth.com

Organizations & group practices 4

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1083687487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PROSPECT ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024813308",
            "telephone_number": "617-915-5268",
            "fax_number": "781-705-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PROSPECT ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024813308",
            "telephone_number": "617-915-5268",
            "fax_number": "781-705-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLITON",
        "first_name": "MARY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "234315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378861",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.