Individual provider Active NPI

Angelique Cerin Empleo-Sandberg

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1174383145
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2358741 Issued in MA
Practice address
1 Marina Park Dr Ste 1410
Boston, MA 02210-1874
Phone
(617) 369-7136
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2358741 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2358741 MA Primary

Addresses

Primary practice location

1 Marina Park Dr Ste 1410
Boston, MA 02210-1874

Mailing address

1 Marina Park Dr Ste 1410
Boston, MA 02210-1874

Other practice location 1

20 W Emerson St
Melrose, MA 02176-3137
Phone (774) 331-8698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN2358741MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1174383145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARINA PARK DR STE 1410",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARINA PARK DR STE 1410",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101874",
            "telephone_number": "617-369-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Emerson St",
            "address_purpose": "LOCATION",
            "city": "Melrose",
            "state": "MA",
            "postal_code": "021763137",
            "country_code": "US",
            "telephone_number": "774-331-8698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMPLEO-SANDBERG",
        "first_name": "ANGELIQUE",
        "middle_name": "CERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2358741",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2358741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.