Michael Bezreh, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2298928 Issued in MA

Practice address

460 Hillside Ave Ste C
Needham, MA 02494-1279

Phone

(781) 531-8188

Fax

(409) 213-3005

NPI assigned

Jul 18, 2016

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Mosaic Psychiatric Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Needham, MA
  • NPI 1427678465
  Medicare reassignment NPD Authorized official
• Northeast Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481
  Medicare reassignment NPD
• The May Institute, Inc

  • Behavior Analyst
  • Randolph, MA
  • NPI 1356318125
  NPD

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1457704157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 4TH ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624828",
            "telephone_number": "781-531-8188",
            "fax_number": "409-213-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HILLSIDE AVE STE C",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941279",
            "telephone_number": "781-531-8188",
            "fax_number": "409-213-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZREH",
        "first_name": "MICHAEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2298928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Brett Berkowitz, M.D.
• Taylor Marie Bertoni, MS, BCBA, LABA, LBA
• Robert William Betcher, M.D.. PH.D.
• Beth Israel Deaconess Healthcare
• Beth Israel Deaconess Hospital-Needham, Inc.
• Molly Binder
• Catherine T Birgeneau, PH.D.
• Genevieve Birkner, M.S., CCLS
• Wesley Shane Blackburn, CCC-SLP
• Nancy Blackmun, PSY.D.

• Psychiatric/Mental Health Nurse Practitioner in Needham, MA
• Providers in Needham, 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 Apr 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.