Individual provider Active NPI

John Vincenzo Graziano

  • Psychiatric/Mental Health Nurse Practitioner
  • Westfield, MA
National Provider Identifier
1386300366
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2326368 Issued in MA
Practice address
77 Mill St Ste 220
Westfield, MA 01085-4598
Phone
(413) 213-3812
NPI assigned
Nov 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2326368 MA Primary

Addresses

Primary practice location

77 Mill St Ste 220
Westfield, MA 01085-4598

Mailing address

8 W Silver St
#278
Westfield, MA 01086

Other practice location 1

1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100 ext. 1708

Other practice location 2

39 New London Tpke Ste 230B
Glastonbury, CT 06033-2061
Phone (860) 577-2692

Other names 1

  • John Graziano Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220817001638 MA Practitioner - Nurse Practitioner 6709269152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Latitude Psychiatry, LLC Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients

Locations

39 New London Tpke
Ste 230B
Glastonbury, CT 06033
Phone (860) 368-0707

77 Mill St
Ste 220
Westfield, MA 01085
Phone (413) 213-3812

8 W Silver St
Unit 278
Westfield, MA 01086

Interoperability endpoints

  • Direct secure messaging: jgraziano345411@direct.ochin.org

Organizations & group practices 1

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": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1386300366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W SILVER ST",
            "address_2": "#278",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MILL ST STE 220",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854598",
            "telephone_number": "413-213-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011032114",
            "country_code": "US",
            "telephone_number": "413-739-1100 x1708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 New London Tpke Ste 230B",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332061",
            "country_code": "US",
            "telephone_number": "860-577-2692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAZIANO",
        "first_name": "JOHN",
        "middle_name": "VINCENZO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2326368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "GRAZIANO",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.