Active NPI
Mariel Catherine Marfongelli, PMHNP-BC
- Psychiatric Hospital
- Boston, MA
National Provider Identifier
1639615685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- RN2299436
- Practice address
- 537 E 6TH St Apt 1
Boston, MA 02127-3070 - Phone
- (617) 435-9004
- NPI assigned
- Jan 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | RN2299436 | MA | Primary |
Addresses
Primary practice location
537 E 6TH St Apt 1
Boston, MA 02127-3070
Mailing address
537 E 6TH St Apt 1
Boston, MA 02127-3070
Phone (617) 435-9004
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Center, Inc. | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Commonwealth Pathology Partners, P.C. | Current | Accepting new patients | |
| North Shore Medical Center, Inc. | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| NSPG Billing LLC | Past | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601
Interoperability endpoints
- marfongelli.mariel.mgh@direct.partners.masshiway.net
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- Anatomic Pathology & Clinical Pathology Physician
- Salem, MA
- NPI 1114032976
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Psychiatric Hospital Unit
- Salem, MA
- NPI 1417972647
-
- Urology Physician
- Newburyport, MA
- NPI 1144981721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484438400000",
"number": "1639615685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 E 6TH ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021273070",
"telephone_number": "617-435-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 E 6TH ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021273070",
"telephone_number": "617-435-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARFONGELLI",
"first_name": "MARIEL",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-15",
"last_updated": "2017-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "MA",
"license": "RN2299436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.