Individual provider Active NPI

Danielle Erica Walsh, OTR/L, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1720502529
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2373423 Issued in MA
Practice address
5 Centennial Dr Ste 100
Peabody, MA 01960-7906
Phone
(978) 232-0332
NPI assigned
Aug 2, 2017
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2373423 MA Primary
Pediatric Occupational Therapist 225XP0200X 12235 MA

Addresses

Primary practice location

5 Centennial Dr Ste 100
Peabody, MA 01960-7906

Mailing address

5 Centennial Dr Ste 100
Peabody, MA 01960-7906

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
I20250908001780 MA Practitioner - Nurse Practitioner 5799287801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3635 Bell Blvd
Suite 203
Bayside, NY 11361-2097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12235MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Care Inc CurrentSince Aug 14, 2025 Accepting new patients
Comprehensive Counseling LCSW, PLLC PastSince Mar 1, 2012 Accepting new patients

Locations

22 Mill St
Ste 307
Arlington, MA 02476
Phone (781) 431-1177

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

Interoperability endpoints

  • Direct secure messaging: projectchilld.daniellewalsh@160030.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1720502529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTENNIAL DR STE 100",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTENNIAL DR STE 100",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607906",
            "telephone_number": "978-232-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DANIELLE",
        "middle_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "OTR/L, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2373423",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "12235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.