Individual provider Active NPI

Mariel Catherine Marfongelli, PMHNP-BC

  • Psychiatric Hospital
  • Boston, MA
National Provider Identifier
1639615685
Registry record updated Jan 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
RN2299436 Issued in MA
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

Updated by the provider on Jan 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124000649 MA Practitioner - Nurse Practitioner 5799110540 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. CurrentSince Dec 16, 2019 Accepting new patients
General Hospital Corp Current Accepting new patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Dec 16, 2019 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Dec 19, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.