Individual provider Active NPI

Ann Cousins, PHD, PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Belmont, MA
National Provider Identifier
1336261536
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
0088566 Issued in MA
Practice address
90 Concord Ave Ste 2
Belmont, MA 02478-4047
Phone
(617) 785-0411
Fax
(617) 489-8068
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 0088566 MA Primary

Addresses

Primary practice location

90 Concord Ave Ste 2
Belmont, MA 02478-4047

Mailing address

90 Concord Ave Ste 2
Belmont, MA 02478-4047
Phone (617) 785-0411

Other identifiers 1

IdentifierTypeStateIssuer
PN0559OtherMABXBS OF MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0088566MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1336261536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE STE 2",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784047",
            "telephone_number": "617-785-0411",
            "fax_number": "617-489-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE STE 2",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784047",
            "telephone_number": "617-785-0411",
            "fax_number": "617-489-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "ANN",
        "credential": "PHD, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "0088566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS OF MA",
            "identifier": "PN0559",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.