Katherine Ryan Waiveris, PMHNP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN279035 Issued in MA

Practice address

60 Cottage St
Great Barrington, MA 01230-1302

Phone

(413) 644-6803

NPI assigned

Oct 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Brien Center for Mental Health and Substance Abuse Services IncGroup PAC ID 7214907906, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Brien Center for Mental Health and Substance Abuse Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsfield, MA
  • NPI 1518984251
  Medicare reassignment Care Compare group NPD
• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Medicare reassignment NPD
• Berkshire Medical Center Inc.

  dba Berkshire Community Pharmacy of North Adams

  • Community/Retail Pharmacy
  • North Adams, MA
  • NPI 1932649753
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Care Compare affiliation
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251
  Care Compare affiliation

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1649052911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "MONTEREY",
            "state": "MA",
            "postal_code": "012450550",
            "telephone_number": "413-644-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COTTAGE ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301302",
            "telephone_number": "413-644-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIVERIS",
        "first_name": "KATHERINE",
        "middle_name": "RYAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN279035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Veazie
• George T Veinoglou, M.D.
• Von Vitto, DNP, AGNP-C
• Volunteers in Medicine-Berkshires, Inc.
• Kerstin L. Voss, MD
• Walgreen Co (Walgreens #17567)
• Susanne R Wallace
• Laura Ward, L.M.T.
• Neal Warshaw, PA-C
• Edward J Weiner, MD

• Psychiatric/Mental Health Registered Nurse in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.

Verify at the official NPI Registry.