Individual provider Active NPI

Gabriella Marciante, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dedham, MA
National Provider Identifier
1528510310
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2303300 Issued in MA
Practice address
339 Washington St Ste 203
Dedham, MA 02026-1870
Phone
(781) 407-7770
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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 RN2303300 MA Primary

Addresses

Primary practice location

339 Washington St Ste 203
Dedham, MA 02026-1870

Mailing address

339 Washington Street, Suite 203
Dedham, MA 02026
Phone (781) 407-7770

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509000718 MA Practitioner - Nurse Practitioner 4284911868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dedham Consultation Center LLCGroup PAC ID 0749562106, 4 clinicians

Practice addresses (Care Compare)

339 Washington St
Suite 203
Dedham, MA 02026-1870
Phone (781) 407-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Dedham Consultation Center LLC CurrentSince Mar 22, 2017 Accepting new patients

Locations

339 Washington St
Dedham, MA 02026
Phone (781) 329-1159

339 Washington St
Ste 203
Dedham, MA 02026
Phone (781) 326-0200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1528510310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WASHINGTON STREET, SUITE 203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "781-407-7770",
            "fax_number": "781-326-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WASHINGTON ST STE 203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261870",
            "telephone_number": "781-407-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIANTE",
        "first_name": "GABRIELLA",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2303300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.