Individual provider Active NPI

Stephanie Joy Ferraro, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, MA
National Provider Identifier
1730437922
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2270455 Issued in MA
Practice address
55 Highland Ave
Suite #201
Salem, MA 01970-2185
Phone
(978) 825-6620
Fax
(978) 825-6622
NPI assigned
Aug 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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 RN2270455 MA Primary
Registered Nurse 163W00000X RN2270455 MA

Addresses

Primary practice location

55 Highland Ave
Suite #201
Salem, MA 01970-2185

Mailing address

55 Highland Ave
Suite #201
Salem, MA 01970-2185
Phone (978) 825-6620

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
I20121205000390 MA Practitioner - Nurse Practitioner 2163674755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
North Shore Medical Center, Inc.Group PAC ID 3274427570, 44 clinicians

Practice addresses (Care Compare)

55 Highland Ave
Suite 201
Salem, MA 01970-2100
Phone (978) 825-6620

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Oct 1, 2015 Accepting new patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Sep 1, 2014 Accepting new patients
North Shore Medical Center, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Psychiatric Associates of Lynn PC Past Accepting new patients
NSPG Billing LLC Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601

Interoperability endpoints

  • Direct secure messaging: ferraro.stephanie.nsmc@direct.partners.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1730437922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "SUITE #201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702185",
            "telephone_number": "978-825-6620",
            "fax_number": "978-825-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "SUITE #201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702185",
            "telephone_number": "978-825-6620",
            "fax_number": "978-825-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2270455",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2270455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.