Cottage Psychiatry LLC
Organization Active NPI Family Medicine Physician · Sharon, MA
NPI 1679249882 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1679249882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COTTAGE PSYCHIATRY LLC
- Practice address
- 8 Cedar Park Rd
Sharon, MA 02067-2548 - Phone
- (781) 300-8916
- NPI assigned
- Aug 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Jean Capone, NP
- Title
- Nurse Practitioner
- Phone
- (781) 300-8916
Practitioners 1
-
Jean Capone, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210915001225 | MA | Part B Supplier - Clinic/Group Practice | 3476959537 |
Receives reassigned benefits from 1 practitioner Practice locations: Sharon, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
8 Cedar Park Rd
Sharon, MA 02067-2548
Mailing address
8 Cedar Park Rd
Sharon, MA 02067-2548
Phone (781) 300-8916
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225497076 | Medicaid | RI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nursejeannie@cottagepsych.com | Health Information Exchange (HIE) |
Other providers in Sharon, MA
- Commit to You, PLLC
- Manuela Cooperman
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Susan PS Creditor
- CVS Pharmacy Inc
- Frank Eliot Dalgin
- Dasari Medical Associates, LLC
- Daniel David
All providers in Sharon, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.