Peter Gitobu Inoti

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

LABA3932 Issued in MA

Practice address

691 Grafton St Ste 2
Worcester, MA 01604-3185

Phone

(508) 304-9804

NPI assigned

Mar 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Autism Therapuetic Services LLC

  • Early Intervention Provider Agency
  • Worcester, MA
  • NPI 1114446432
  NPD Authorized official
• Companion Adult Foster Care LLC

  • Home Health Agency
  • Worcester, MA
  • NPI 1184105777
  NPD Authorized official

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1346998069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BJORKLUND AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051065",
            "telephone_number": "774-303-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 GRAFTON ST STE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043185",
            "telephone_number": "508-304-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOTI",
        "first_name": "PETER",
        "middle_name": "GITOBU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "LABA3932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1114446432",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inotip@atsautism.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Bjorklund Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethany M Ingram, PHARM D
• Jamie Ingram, PTA
• Gabriella Elizabeth Inman
• Keri Innis-Grant, MSW PENDING
• Mary R Innis, RN PC
• Insight Home Care Solutions
• Instant Transportation, LLC
• Institute for Trauma and Healing (Attachment Institute of New England)
• Integral Health Partners LLC
• Integral Primary Care Practice PLLC

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Worcester, MA
• Providers in Worcester, MA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.