Individual provider Active NPI

Charlene A Sama

  • Psychiatric/Mental Health Nurse Practitioner
  • Foxborough, MA
National Provider Identifier
1720853849
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2271581 Issued in MA
Practice address
225 Foxborough Blvd Ste 201
Foxborough, MA 02035-3062
Phone
(774) 382-8734
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2271581 MA Primary

Addresses

Primary practice location

225 Foxborough Blvd Ste 201
Foxborough, MA 02035-3062

Mailing address

18 Saint Casimir Ave
Brockton, MA 02302
Phone (774) 360-1109

Other practice location 1

18 saint casimir ave
Brockton, MA 02302
Phone (774) 360-1109

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
I20240202002503 MA Practitioner - Nurse Practitioner 3779926068 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

225 Foxborough Blvd
Suite 201
Foxborough, MA 02035-3062
Phone (508) 901-4685

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2271581MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Minds Healthcare LLC Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Northeast Health Services, LLC CurrentSince Mar 1, 2025 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Jan 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

500 Westgate Dr
Brockton, MA 02301
Phone (508) 690-6069

225 Foxborough Blvd
Ste 201
Foxborough, MA 02035
Phone (508) 901-4685

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1720853849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SAINT CASIMIR AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "774-360-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FOXBOROUGH BLVD STE 201",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020353062",
            "telephone_number": "774-382-8734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 saint casimir ave",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02302",
            "country_code": "US",
            "telephone_number": "774-360-1109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMA",
        "first_name": "CHARLENE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2271581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

Verify at the official NPI Registry.