Conor John Larson, PMHNP-BC, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2337836 Issued in MA

Practice address

293 Washington St
Norwell, MA 02061-1781

Phone

(617) 588-0102

NPI assigned

Aug 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Square Medical Group LLC

  • Adult Mental Health Clinic/Center
  • Watertown, MA
  • NPI 1356515464
  NPD (past)
• Square Medical Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watertown, MA
  • NPI 1760957609
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1376210518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PRINCESS RD",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651636",
            "telephone_number": "617-874-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611781",
            "telephone_number": "617-588-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CONOR",
        "middle_name": "JOHN",
        "credential": "PMHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2337836",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2337836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Lane-Genovesi, LIC. AC.
• Julia Larkin
• Rita Larkin
• Joanna Larsen
• Natalie Larsen, DPT, PT
• William Lauture
• Arlen Lawson Jr.
• Jacquelyn Marie Leafer
• Paul F. Leary
• Rony M Lebrun

• Psychiatric/Mental Health Nurse Practitioner in Norwell, MA
• Providers in Norwell, 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 Jan 27, 2023; 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.