Edith Susan Minkin, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

149267 Issued in MA

Practice address

105 Webster St
Ste 8
Hanover, MA 02339-1227

Phone

(781) 754-6545

NPI assigned

Jan 30, 2007

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Insight Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MA
  • NPI 1235711839
  NPD
• Nova Psychiatric Service

  • Psychologist
  • Quincy, MA
  • NPI 1598838781
  NPD (past)
• Nova Psychiatric Services, PC

  dba Prime Behavioral Health

  • Community/Behavioral Health Agency
  • Quincy, MA
  • NPI 1881782522
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1245377480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST",
            "address_2": "STE 8",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-754-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST",
            "address_2": "STE 8",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-754-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKIN",
        "first_name": "EDITH",
        "middle_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "149267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110091463A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Recupero DC
• Andrea Leigh Miller, LICSW
• Richard Todd Miller, DMD
• S Murray Miller, DDS CAGS
• Mindful Psychiatry and Wellness PLLC
• MJR, LLC (Dr. Michael J Recupero)
• Mobility Plus Physical Therapy
• Modern Wellness Counseling PC
• Jaclyn Marie Molloy
• Moore Family Chiropractic

• Psychiatric/Mental Health Nurse Practitioner in Hanover, MA
• Providers in Hanover, 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 Sep 8, 2016; 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.