South of Boston Psychiatric & Emotional Support LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTH OF BOSTON PSYCHIATRIC & EMOTIONAL SUPPORT LLC

Practice address

133 Washington St
Norwell, MA 02061-1755

Phone

(781) 925-1106

NPI assigned

Sep 14, 2022

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Sheppard-Reece, NPNPI 1023495538

Title

Pmhnp-BC

Phone

(617) 404-5253

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Sheppard-Reece, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke, MA
  • NPI 1023495538
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1417679770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611755",
            "telephone_number": "781-925-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OF BOSTON PSYCHIATRIC & EMOTIONAL SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD-REECE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "617-404-5253",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Scotti Smith, C.N.M.
• Tabitha Smith
• Lindsey Snider, BCBA
• Sarah Snow
• Ana Soares
• South Shore Center for Wellness LTD (South Shore Behavioral Health Clinic)
• South Shore Charter Public School
• South Shore Chiropractic Care, P.C. (Health Solutions Group)
• South Shore Home Birth Midwifery & Women's Wellness, LLC
• South Shore Medical Center, Inc

• 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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.