Active NPI
Sumi Dolben, NP
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Newton, MA
National Provider Identifier
1487947255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN276106
- Practice address
- 10 Langley Rd
Suite 300
Newton, MA 02459-1972 - Phone
- (800) 370-3651
- Fax
- (860) 510-0020
- NPI assigned
- May 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN276106 | MA | Primary |
Addresses
Primary practice location
10 Langley Rd
Suite 300
Newton, MA 02459-1972
Mailing address
20 Research Pkwy
Old Saybrook, CT 06475-4214
Phone (800) 370-3651
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Cabot Rd
Suite 205
Medford, MA 02155-5173
Phone (781) 551-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Child and Family Psychological Services, PLLC | Current | Accepting new patients | |
| Hallmark Health System Inc | Psychiatric/Mental Health, Adult | Current | Accepting new patients |
Locations
10 Cabot Rd
Ste 205
Medford, MA 02155
Phone (617) 912-7500
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
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.
-
- Psychologist
- Norwood, MA
- NPI 1912987181
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- Internal Medicine Physician
- Medford, MA
- NPI 1275673667
Psychiatric/Mental Health, Adult
-
- Psychiatric Hospital Unit
- Medford, MA
- NPI 1891835351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1487947255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 RESEARCH PKWY",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754214",
"telephone_number": "800-370-3651",
"fax_number": "860-510-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LANGLEY RD",
"address_2": "SUITE 300",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591972",
"telephone_number": "800-370-3651",
"fax_number": "860-510-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLBEN",
"first_name": "SUMI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "RN276106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 26, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.