Individual provider Active NPI

Sara M Raposo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dartmouth, MA
National Provider Identifier
1629513684
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN276086 Issued in MA
Practice address
77R State Rd
Dartmouth, MA 02747-2919
Phone
(774) 202-6963
Fax
(774) 202-2737
NPI assigned
Dec 30, 2016
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN276086 MA Primary
Case Management Registered Nurse 163WC0400X RN276086 MA

Addresses

Primary practice location

77R State Rd
Dartmouth, MA 02747-2919

Mailing address

77R State Rd
Dartmouth, MA 02747-2919
Phone (774) 202-6963

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
I20231108002663 MA Practitioner - Nurse Practitioner 1153778485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brighter Side Wellness LLCGroup PAC ID 9032429915, 5 clinicians

Practice addresses (Care Compare)

67 Brigham St
New Bedford, MA 02740-2211

77 State Rd
North Dartmouth, MA 02747-2935
Phone (774) 202-6963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN276086MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Psychiatry, LLC Psychiatric/Mental Health CurrentSince Oct 7, 2025 Accepting new patients
Brighter Side Wellness LLC Psychiatric/Mental Health CurrentSince Sep 17, 2023 Accepting new patients

Locations

67 Brigham St
New Bedford, MA 02740
Phone (508) 993-7200

77 State Rd
#R
North Dartmouth, MA 02747
Phone (774) 202-6963

77 State Rd
Ste 1R
North Dartmouth, MA 02747
Phone (774) 202-6963

77 State Rd
Ste R
North Dartmouth, MA 02747
Phone (774) 202-6963

77R State Rd
North Dartmouth, MA 02747
Phone (508) 996-0389

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, 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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1629513684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77R STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472919",
            "telephone_number": "774-202-6963",
            "fax_number": "774-202-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77R STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472919",
            "telephone_number": "774-202-6963",
            "fax_number": "774-202-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOSO",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN276086",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "RN276086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.