Revathi Tripuraneni

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1120 Hancock St
Quincy, MA 02169-4313

Phone

(484) 787-8642

NPI assigned

Jul 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Metro Boston Mental Health, PLLC

  • Mental Health Counselor
  • Newton, MA
  • NPI 1184313397
  Medicare reassignment NPD

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1376278275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BAY STATE RD APT 4R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152112",
            "telephone_number": "484-787-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694313",
            "telephone_number": "484-787-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPURANENI",
        "first_name": "REVATHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Trayers
• Nicole Trezise
• Lauren Trifone
• Sheila Trifone, RN
• Qui Trinh, DPT
• Katelyn Ashley Trocki, MS, OTR/L
• Phyllis Jean Troia, MD
• Vincent Karl Trossello, D.M.D.,M.SC.D.
• Gracie Trotman, M.A.
• Cristi Trotter, BCABA

• Mental Health Counselor in Quincy, MA
• Providers in Quincy, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.