NPIMap

Organization Active NPI

Prospect Hill Consultants Inc.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Bourne, MA
National Provider Identifier
1447496237
Registry record updated Dec 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
160572 Issued in MA
Legal business name
PROSPECT HILL CONSULTANTS INC.
Practice address
16 Waterhouse Rd
Bourne, MA 02532-3897
Phone
(508) 759-7279
Fax
(508) 888-7553
NPI assigned
Dec 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2008

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

Authorized official

Name
Mr. John MooreNPI 1679643605
Title
Vice President
Phone
(508) 759-7279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1022699 MA
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0809X 160572 MA Primary

Addresses

Primary practice location

16 Waterhouse Rd
Bourne, MA 02532-3897

Mailing address

1 Dogwood Rd
Bourne, MA 02532-2227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090306000532 MA Part B Supplier - Clinic/Group Practice 9436215985 Receives reassigned benefits from 8 practitioners
Practice locations: Bourne, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230422400000",
    "number": "1447496237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOGWOOD RD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025322227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WATERHOUSE RD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323897",
            "telephone_number": "508-759-7279",
            "fax_number": "508-888-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT HILL CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-28",
        "last_updated": "2008-12-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "508-759-7279",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022699",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "160572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourne, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; 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.