Individual provider Active NPI

Sondra Papatsoris

  • Student in an Organized Health Care Education/Training Program
  • Somerville, MA
National Provider Identifier
1104075209
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
167 Holland St
Room 133
Somerville, MA 02144-2401
Phone
(617) 629-6668
Fax
(617) 625-6339
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

167 Holland St
Room 133
Somerville, MA 02144-2401

Mailing address

167 Holland St
Room 133
Somerville, MA 02144-2401
Phone (617) 629-6668

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
I20181113001857 MA Practitioner - Clinical Social Worker 7517211444 Practice locations: Melrose, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 Arlington St
Melrose, MA 02176-5501
Phone (617) 797-8437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Somerville Mental Health Association, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1104075209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 HOLLAND ST",
            "address_2": "ROOM 133",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442401",
            "telephone_number": "617-629-6668",
            "fax_number": "617-625-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 HOLLAND ST",
            "address_2": "ROOM 133",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442401",
            "telephone_number": "617-629-6668",
            "fax_number": "617-625-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPATSORIS",
        "first_name": "SONDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.