Active NPI
Thomas Psyris
- Family Nurse Practitioner
- Northborough, MA
National Provider Identifier
1548716749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2266793
- Practice address
- 10002 Shops Way
Northborough, MA 01532 - Phone
- (508) 919-8190
- Fax
- (508) 919-8191
- NPI assigned
- Aug 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 0024173802 | VA | |
| Family Nurse Practitioner | 363LF0000X | RN2266793 | MA | Primary |
Addresses
Primary practice location
10002 Shops Way
Northborough, MA 01532
Mailing address
15 Country LN
Palmer, MA 01069-2187
Phone (571) 449-1273
Other practice location 1
4510 Plank Rd
ste 200
Fredericksburg, VA 22407-0138
Phone (540) 785-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary and Urgent Care LLC | Past | Accepting new patients | |
| Nuch of Massachusetts, LLC | Past | Accepting new patients |
Interoperability endpoints
- tpsyris@primaryandurgentcare.directbygreenway.com
- https://api.platform.athenahealth.com/18689/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
dba MedPost Urgent Care Northborough
- Urgent Care Clinic/Center
- Northborough, MA
- NPI 1205219441
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1043563174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563667200000",
"number": "1548716749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COUNTRY LN",
"city": "PALMER",
"state": "MA",
"postal_code": "010692187",
"telephone_number": "571-449-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10002 SHOPS WAY",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "01532",
"telephone_number": "508-919-8190",
"fax_number": "508-919-8191"
}
],
"practiceLocations": [
{
"address_1": "4510 Plank Rd",
"address_2": "ste 200",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224070138",
"country_code": "US",
"telephone_number": "540-785-9900",
"fax_number": "540-785-9960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PSYRIS",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-28",
"last_updated": "2019-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "VA",
"license": "0024173802",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2266793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.