Individual provider Active NPI

Elise Navratil Kline I, NP

  • Psychologist
  • Jamaica Plain, MA
National Provider Identifier
1740333921
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3893 Issued in MA
Practice address
170 Morton St
Jamaica Plain, MA 02130-3735
Phone
(617) 971-3085
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3893 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 120791 MA

Addresses

Primary practice location

170 Morton St
Jamaica Plain, MA 02130-3735

Mailing address

675 Chief Justice Cushing Hwy
Scituate, MA 02066-3216
Phone (617) 971-3085

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
I20050818001009 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 2860422847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Boston University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Psychiatric Services, P.CGroup PAC ID 4183524887, 17 clinicians

Practice addresses (Care Compare)

1261 Furnace Brook Pkwy
Suite 31
Quincy, MA 02169-4787
Phone (617) 479-4545

851 Main St
Suite 4
Weymouth, MA 02190-1613
Phone (781) 821-2701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3893MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Psychiatric Services, PC CurrentSince Feb 14, 2000 Accepting new patients
DCS Mental Health, Inc Past Accepting new patients

Locations

234 Copeland St
Ste 320
Quincy, MA 02169

1261 Furnace Brook Pkwy
Ste 22
Quincy, MA 02169
Phone (617) 302-2481

851 Main St
Ste 4
Weymouth, MA 02190
Phone (781) 340-1222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740333921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CHIEF JUSTICE CUSHING HWY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663216",
            "telephone_number": "617-971-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-971-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "ELISE",
        "middle_name": "NAVRATIL",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "3893",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "120791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.