Jeremy P Santacroce, RN/NP, LICSW

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2264377 Issued in MA

Practice address

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

Phone

(978) 443-6960

Fax

(978) 443-6502

NPI assigned

Apr 13, 2007

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 1, 2012 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeremy Santacroce, RN/NP, Licsw, LLC

  • Psychiatric/Mental Health Registered Nurse
  • Sudbury, MA
  • NPI 1164781720

  Clinical

  NPD (past) Authorized official
• The Edinburg Center Inc

  • Psychiatry Physician
  • Bedford, MA
  • NPI 1073617353

  Clinical

  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1215152632",
    "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": {
        "last_name": "SANTACROCE",
        "first_name": "JEREMY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RN/NP, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2264377",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "213256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114229",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2264377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Wegener Roche, DPT
• Ronnie Du DMD & Associates PC
• Nora Roscoe, PMHNP-BC, APRN, MSN
• Katherine Ryan, OTR/L
• Ena Michele Sandler, M.S.R.D.L.D.N.
• Elizabeth M. Sarantopoulos, LICSW
• Julie Saucier, COTA/L
• Cathy Richardson Schen, M.D.
• Brian M Schwartz, M.D.
• Emma Scicchitani

• Psychiatric/Mental Health Nurse Practitioner in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.