South Cape Psychiatric Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2267688 Issued in MA

Legal business name

SOUTH CAPE PSYCHIATRIC SERVICES PLLC

Practice address

446 Waquoit Hwy
Waquoit, MA 02536-5522

Phone

(774) 255-5010

NPI assigned

Jun 10, 2017

Last updated

Nov 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Jaffe, NPNPI 1902186158

Title

Nurse Practitioner

Phone

(617) 957-8063

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Jaffe, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Waquoit, MA
  • NPI 1902186158
  Authorized official Same address or phone
• Cynthia S Prapas, MED

  • Counselor
  • Falmouth, MA
  • NPI 1841596392
  NPD (past)

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1669901807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 RED BROOK RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493761",
            "telephone_number": "617-957-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 WAQUOIT HWY",
            "city": "WAQUOIT",
            "state": "MA",
            "postal_code": "025365522",
            "telephone_number": "774-255-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAPE PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-10",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-957-8063",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2267688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Hulett, DC
• David Jaffe, N.P.
• Robin S Phelan, OTR
• Karen Ann Smith - Carlson, MA

• Psychiatric/Mental Health Nurse Practitioner in Waquoit, MA
• Providers in Waquoit, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.