Organization Active NPI

Middlesex Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Belmont, MA
National Provider Identifier
1265056527
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIDDLESEX MENTAL HEALTH, LLC
Practice address
9 Alexander Ave
Belmont, MA 02478-4802
Phone
(781) 222-3548
Fax
(781) 472-1254
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Elena MascarenhasNPI 1467854406
Title
Owner/Psychiatric NP
Phone
(781) 222-3585

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 Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9 Alexander Ave
Belmont, MA 02478-4802

Mailing address

9 Alexander Ave
Belmont, MA 02478-4802
Phone (781) 222-3585

National Provider Directory

National Provider Directory

Locations

9 Alexander Ave
Belmont, MA 02478
Phone (617) 484-8235

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": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1265056527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ALEXANDER AVE",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784802",
            "telephone_number": "781-222-3585",
            "fax_number": "781-472-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ALEXANDER AVE",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784802",
            "telephone_number": "781-222-3548",
            "fax_number": "781-472-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "MASCARENHAS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIC NP",
        "authorized_official_telephone_number": "781-222-3585"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.