Tetra Behavioral Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TETRA BEHAVIORAL SERVICES PLLC

Practice address

167 Washington St Ste 42
Norwell, MA 02061-1797

Phone

(508) 933-9665

NPI assigned

Jan 26, 2024

Organization subpart

Yes

Parent organization

TETRA BEHAVIORAL SERVICES PLLCAs reported in NPPES

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

Authorized official

Name

Miss Elizabeth Sarah Waithira, NPNPI 1255808986

Title

Nurse Practitioner

Phone

(508) 933-9665

Specialties & licenses 1

Addresses

Other names 1

• Tetra Behavioral Services PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Part of

Tetra Behavioral Services PLLC

Practitioners 2

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

• Elizabeth S Waithira, NP

  • Gerontology Nurse Practitioner
  • Quincy, MA
  • NPI 1255808986
  Medicare reassignment NPD Authorized official
• Esi Korsah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlton, MA
  • NPI 1679136436
  Medicare reassignment NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1578325437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON ST STE 42",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611797",
            "telephone_number": "508-933-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON ST STE 42",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611797",
            "telephone_number": "508-933-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETRA BEHAVIORAL SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TETRA BEHAVIORAL SERVICES PLLC",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "WAITHIRA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "508-933-9665",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tetra Behavioral Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Charles Wesley Taylor, LICSW
• Jennifer Lynne Taylor
• Tammy Taylor, M.S., CCC-SLP
• Andrea Teebagy
• Danielle Marie Terranova
• Harjot Kaur Thakral, MD
• The Coastal Center for Developing Minds
• The Dandelion Doula, LLC
• Felisha Thomas
• Jannia Thomas

• Mental Health Clinic/Center (Including Community Mental Health Center) in Norwell, MA
• Providers in Norwell, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.