Individual provider Active NPI

Eugenio Bortoloto-Neto, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1487152815
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2288774 Issued in MA
Practice address
63 Bakersfield St Apt 1
Boston, MA 02125-1920
Phone
(617) 335-6051
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2288774 MA Primary

Addresses

Primary practice location

63 Bakersfield St Apt 1
Boston, MA 02125-1920

Mailing address

63 Bakersfield St Apt 1
Boston, MA 02125-1920
Phone (617) 335-6051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190801000127 MA Practitioner - Nurse Practitioner 7911233705 Reassigns benefits to 3 organizations
I20210915003397 FL Practitioner - Nurse Practitioner 7911233705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inspira Counseling Center LLCGroup PAC ID 6608217062, 7 clinicians

Practice addresses (Care Compare)

425 Union St
Suite 46
West Springfield, MA 01089-3485
Phone (413) 299-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients
Brave Health Inc. CurrentSince Oct 11, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients
Inspira Counseling Center, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

2100 Dorchester Ave
#2214
Dorchester Center, MA 02124
Phone (617) 506-2840

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

425 Union St
Ste 46
West Springfield, MA 01089
Phone (413) 299-2277

Organizations & group practices 4

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1487152815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BAKERSFIELD ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021251920",
            "telephone_number": "617-335-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BAKERSFIELD ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021251920",
            "telephone_number": "617-335-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTOLOTO-NETO",
        "first_name": "EUGENIO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2288774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.