Active NPI
Judith Toby Israel, APRN BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Quincy, MA
National Provider Identifier
1104093806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 130812
- Practice address
- 234 Copeland St FL 3
Mass Bay Counseling
Quincy, MA 02169-4005 - Phone
- (617) 786-0137
- Fax
- (617) 479-4798
- NPI assigned
- May 12, 2008
- 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 Clinical Nurse Specialist | 364SP0808X | 130812 | MA | Primary |
Addresses
Primary practice location
234 Copeland St FL 3
Mass Bay Counseling
Quincy, MA 02169-4005
Mailing address
234 Copeland St FL 3
Mass Bay Counseling
Quincy, MA 02169-4005
Phone (617) 786-0137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1104093806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 COPELAND ST FL 3",
"address_2": "MASS BAY COUNSELING",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694005",
"telephone_number": "617-786-0137",
"fax_number": "617-479-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 COPELAND ST FL 3",
"address_2": "MASS BAY COUNSELING",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694005",
"telephone_number": "617-786-0137",
"fax_number": "617-479-4798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "JUDITH",
"middle_name": "TOBY",
"name_prefix": "Ms.",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "MA",
"license": "130812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.