Individual provider Active NPI

Elyse T Sokol, RN MS CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Natick, MA
National Provider Identifier
1598790792
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
154124 Issued in MA
Practice address
4 Winnemay St
Ste 2
Natick, MA 01760-2816
Phone
(781) 444-5530
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 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 Clinical Nurse Specialist 364SP0808X 154124 MA Primary

Addresses

Primary practice location

4 Winnemay St
Ste 2
Natick, MA 01760-2816

Mailing address

4 Winnemay St
Ste 2
Natick, MA 01760-2816
Phone (781) 444-5530

Other identifiers 2

IdentifierTypeStateIssuer
PN0784OtherMABCBS HMO PPO FEDERAL
154124OtherMATUFTS HMO

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
I20040323000135 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 3173414851 Practice locations: Natick, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Winnemay St
Suite 2
Natick, MA 01760-2816
Phone (781) 444-5530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
154124MAMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1598790792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WINNEMAY ST",
            "address_2": "STE 2",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602816",
            "telephone_number": "781-444-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WINNEMAY ST",
            "address_2": "STE 2",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602816",
            "telephone_number": "781-444-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "ELYSE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "RN MS CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "154124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO PPO FEDERAL",
            "identifier": "PN0784",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO",
            "identifier": "154124",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.