Active NPI
Mary Culliton, CNM
- Psychiatric/Mental Health Nurse Practitioner
- Wellesley Hills, MA
National Provider Identifier
1083687487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 234315
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0378861 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 234315 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Auburn Professional Services | Current | Accepting new patients | |
| Mary Culliton CNM, Pmhnp | Psychiatric/Mental Health | Current | Accepting new patients |
| Mount Auburn Professional Services Inc | Current | 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
- mculliton251714@direct.bilh.masshiway.net
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wellesley Hills, MA
- NPI 1407711245
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
-
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1346308723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.