Fernanda Greco Quentel

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

117 Summer St FL 2
Somerville, MA 02143-2706

Phone

(617) 354-2275

NPI assigned

Dec 20, 2019

Reactivated

Jul 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  Medicare reassignment NPD

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1134767130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SUMMER ST APT 2",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482542",
            "telephone_number": "617-354-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SUMMER ST FL 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432706",
            "telephone_number": "617-354-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Putnam Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021393768",
            "country_code": "US",
            "telephone_number": "857-990-8252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRECO QUENTEL",
        "first_name": "FERNANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "deactivation_date": "2022-06-09",
        "reactivation_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Grant
• Caroline Guyer Gray, LICSW
• Caroline Shannon Graziano, MSW, LCSW
• Great Hill Dental Partners, LLC
• Great Way Wellness Center LLC
• Elysha Greenberg, PSYD
• Jayana Marie Greene, RN
• Emily Greenslit
• Samantha A Greenwood, LCSW
• Erin Dorothea Grey

• Community/Behavioral Health Agency in Somerville, MA
• Providers in Somerville, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.