Clarence T Dennis, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

274554 Issued in MA

Practice address

1234 Hyde Park Ave
Suite 205
Hyde Park, MA 02136-2819

Phone

(617) 413-6618

Fax

(617) 333-8229

NPI assigned

Dec 5, 2012

Sex

Male

Sole proprietor

Yes

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Hyde Park Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
  • NPI 1639765894
  Medicare reassignment NPD Authorized official
• Hyde Park Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
  • NPI 1568127157
  NPD Authorized official
• Boston Heart Group

  • Cardiovascular Disease Physician
  • Brookline, MA
  • NPI 1306877923
  NPD (past)

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1437494267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038650369",
            "telephone_number": "617-661-5515",
            "fax_number": "617-661-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 HYDE PARK AVE",
            "address_2": "SUITE 205",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362819",
            "telephone_number": "617-413-6618",
            "fax_number": "617-333-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CLARENCE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-05",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "274554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aderito Deandrade
• Brittany Debarros
• Amy Elizabeth Delaney, RN,MSN,CPNP-ACIP
• Rebecca Demello Egan, M.A., M.ED., LMHC
• Vanessa Denaud, RN
• Jaleesa Dennis
• Kianesha D Dennis
• Anie Sophia Derolus, MSN, FNP-BC
• Nehemie Desroches
• Destini Healthcare Services Inc.

• Psychiatric/Mental Health Nurse Practitioner in Hyde Park, MA
• Providers in Hyde Park, 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 Nov 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.