Individual provider Active NPI

Alexandra O'Malley

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1356927198
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2307771 Issued in MA
Practice address
193 W 8TH St Unit 1
Boston, MA 02127-7710
Phone
(609) 313-4152
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2307771 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2307771 MA Primary

Addresses

Primary practice location

193 W 8TH St Unit 1
Boston, MA 02127-7710

Mailing address

193 W 8TH St Unit 1
Boston, MA 02127-7710
Phone (609) 313-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211228001056 MA Practitioner - Nurse Practitioner 3971994054 Reassigns benefits to 1 organization
I20231211002441 CT Practitioner - Nurse Practitioner 3971994054 Reassigns benefits to 1 organization
I20260520001259 NJ Practitioner - Nurse Practitioner 3971994054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contemporary Care LLCGroup PAC ID 9537408141, 30 clinicians

Practice addresses (Care Compare)

84 Hospital Ave
Danbury, CT 06810-6047
Phone (203) 792-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2307771MAMDPsychiatric/Mental Health Registered Nurse
RN2307771MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Care, LLC CurrentSince Nov 3, 2023 Accepting new patients
Riverside Community Care, Inc. CurrentSince Dec 6, 2021 Accepting new patients
Contemporary Care LLC CurrentSince Nov 3, 2023 Accepting new patients

Locations

84 Hospital Ave
Danbury, CT 06810
Phone (203) 792-0400

81 Holly Hill Ln
Fl 2
Greenwich, CT 06830
Phone (203) 321-5063

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

117 Summer St
Somerville, MA 02143
Phone (617) 284-5130

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1356927198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 W 8TH ST UNIT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021277710",
            "telephone_number": "609-313-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 W 8TH ST UNIT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021277710",
            "telephone_number": "609-313-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2307771",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2307771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.