Individual provider Active NPI

Maureen Frances Walsh, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingston, MA
National Provider Identifier
1659621795
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
189075 Issued in MA
Practice address
4 Elm St
Kingston, MA 02364-1906
Phone
(781) 856-4702
Fax
(617) 376-8910
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 189075 MA Primary

Addresses

Primary practice location

4 Elm St
Kingston, MA 02364-1906

Mailing address

4 Elm St
Kingston, MA 02364-1906
Phone (781) 856-4702

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
I20141015000549 MA Practitioner - Nurse Practitioner 0143441287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Elm St
Kingston, MA 02364-1906
Phone (781) 201-4702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189075MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Floats Healing & Wellness Center, Inc CurrentSince Mar 24, 2025 Accepting new patients
Grief Weavers, LLC Psychiatric/Mental Health CurrentSince Sep 18, 2007 Accepting new patients
Health Imperatives Inc. Past Accepting new patients
Day to Day Psychiatric Care & Wellness PLLC PastSince Aug 6, 2023 Accepting new patients

Locations

4 Elm St
Kingston, MA 02364
Phone (781) 201-4702

167 Washington St
Norwell, MA 02061
Phone (617) 686-9932

Organizations & group practices 4

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1659621795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELM ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641906",
            "telephone_number": "781-856-4702",
            "fax_number": "617-376-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ELM ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641906",
            "telephone_number": "781-856-4702",
            "fax_number": "617-376-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MAUREEN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "189075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

Verify at the official NPI Registry.