NPIMap

Organization Active NPI

Jeremy Santacroce, RN/NP, Licsw, LLC

  • Psychiatric/Mental Health Registered Nurse
  • Sudbury, MA
National Provider Identifier
1164781720
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN2264377 Issued in MA
Legal business name
JEREMY SANTACROCE, RN/NP, LICSW, LLC
Practice address
323 Boston Post Rd
Unit 4C
Sudbury, MA 01776-3022
Phone
(978) 443-6960
Fax
(978) 443-6502
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Jeremy Santacroce, RN/NP, LICSWNPI 1215152632
Title
Owner
Phone
(978) 443-6960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114229 MA
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2264377 MA Primary

Addresses

Primary practice location

323 Boston Post Rd
Unit 4C
Sudbury, MA 01776-3022

Mailing address

323 Boston Post Rd
Unit 4C
Sudbury, MA 01776-3022
Phone (978) 443-6960

National Provider Directory

National Provider Directory

Locations

323 Boston Post Rd
Unit 4C
Sudbury, MA 01776
Phone (978) 443-6960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1164781720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD",
            "address_2": "UNIT 4C",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "978-443-6960",
            "fax_number": "978-443-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD",
            "address_2": "UNIT 4C",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "978-443-6960",
            "fax_number": "978-443-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY SANTACROCE, RN/NP, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "SANTACROCE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-443-6960",
        "authorized_official_credential": "RN/NP, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114229",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2264377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.