Organization Active NPI

Behavioral Health and Consulting Practice, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newton, MA
National Provider Identifier
1487085296
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN154473 Issued in MA
Legal business name
BEHAVIORAL HEALTH AND CONSULTING PRACTICE, LLC
Practice address
846 Walnut St
Newton, MA 02459-1756
Phone
(617) 332-0422
Fax
(617) 332-0423
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Ms. Sharon Reynolds, RN, PCNPI 1821191461
Title
Sole Member, Owner
Phone
(617) 332-0422

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X RN154473 MA Primary

Addresses

Primary practice location

846 Walnut St
Newton, MA 02459-1756

Mailing address

PO Box 620024
Newton, MA 02462-0024
Phone (617) 332-0422

Other names 1

  • Sharon Reynolds Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140425000120 MA Part B Supplier - Clinic/Group Practice 2567695679 Receives reassigned benefits from 1 practitioner
Practice locations: Hopkinton, MA

National Provider Directory

National Provider Directory

Locations

846 Walnut St
Newton, MA 02459
Phone (617) 332-0422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1487085296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620024",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024620024",
            "telephone_number": "617-332-0422",
            "fax_number": "617-332-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 WALNUT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591756",
            "telephone_number": "617-332-0422",
            "fax_number": "617-332-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH AND CONSULTING PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "SOLE MEMBER, OWNER",
        "authorized_official_telephone_number": "617-332-0422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, PC"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN154473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Reynolds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.