Individual provider Active NPI

Christine Ann Gosselin, APRN CS (RN PC)

  • Adult Psychiatric/Mental Health Registered Nurse
  • Wellesley, MA
National Provider Identifier
1447382403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
134107 Issued in MA
Practice address
42 Washington St
Suite 210
Wellesley, MA 02481-1803
Phone
(781) 431-2629
Fax
(781) 416-4321
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 134107 MA Primary

Addresses

Primary practice location

42 Washington St
Suite 210
Wellesley, MA 02481-1803

Mailing address

42 Washington St
Suite 210
Wellesley, MA 02481-1803
Phone (781) 431-2629

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
I20121119000414 MA Practitioner - Nurse Practitioner 6002067162 Reassigns benefits to 3 organizations
Practice locations: Wellesley, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

42 Washington St
Suite 210
Wellesley, MA 02481-1817
Phone (781) 431-2629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
134107MAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 28, 2012 Accepting new patients
Harmonious Mind LLC CurrentSince Jan 17, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 28, 2012 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 28, 2012 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 28, 2012 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

42 Washington St
Ste 210
Wellesley Hls, MA 02481
Phone (781) 237-7720

Organizations & group practices 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447382403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WASHINGTON ST",
            "address_2": "SUITE 210",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811803",
            "telephone_number": "781-431-2629",
            "fax_number": "781-416-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WASHINGTON ST",
            "address_2": "SUITE 210",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811803",
            "telephone_number": "781-431-2629",
            "fax_number": "781-416-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN CS (RN PC)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "134107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.