Organization Active NPI

Laurie Zelas Private Practice LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Natick, MA
National Provider Identifier
1235691304
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
LAURIE ZELAS PRIVATE PRACTICE LLC
Practice address
2 Summer St Ste 16
Natick, MA 01760-4529
Phone
(508) 653-0391
Fax
(508) 653-0629
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Laurie E Zelas, PMH CNS-BCNPI 1669446365
Title
Provider
Phone
(508) 653-0391

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

2 Summer St Ste 16
Natick, MA 01760-4529

Mailing address

2 Summer St Ste 16
Natick, MA 01760-4529
Phone (508) 653-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410000944 MA Part B Supplier - Clinic/Group Practice 3779824248 Receives reassigned benefits from 1 practitioner
Practice locations: Natick, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1235691304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST STE 16",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604529",
            "telephone_number": "508-653-0391",
            "fax_number": "508-653-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST STE 16",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604529",
            "telephone_number": "508-653-0391",
            "fax_number": "508-653-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE ZELAS PRIVATE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "ZELAS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "508-653-0391",
        "authorized_official_credential": "PMH CNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.