Mary C Barbato, CNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN150905 Issued in MA

Practice address

103 Myron St
Suite a
West Springfield, MA 01089-1598

Phone

(413) 592-1980

Fax

(413) 439-0096

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mary C Donnelly Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: walthambehavioralhealth.marybarbato@130601.advancedmd-direct.com

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.

• Waltham Behavioral Health LLC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Waltham, MA
  • NPI 1427453000

  Psychiatric/Mental Health, Adult

  Medicare reassignment NPD
• Newton Square Health Center, PC

  • Mental Health Counselor
  • Worcester, MA
  • NPI 1255425815
  Medicare reassignment
• Ally Integrated Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
  • NPI 1174022693
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1750313185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STOW ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024531613",
            "telephone_number": "508-790-1925",
            "fax_number": "508-790-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MYRON ST",
            "address_2": "SUITE A",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891598",
            "telephone_number": "413-592-1980",
            "fax_number": "413-439-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBATO",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MA",
            "license": "150905",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN150905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "890000431",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "83-00774",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DONNELLY",
            "middle_name": "C",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan J. Ballard, L.I.C.S.W.
• Zlata Banar
• Tana Bao, MSN FNP-BC NP-C APRN
• Michael Baran, COTA
• Daniel Barbash, DO
• Wendy J Barbour
• Tiffany Barfield
• Mary E Barkalow, MD
• Dylan Barkoski
• Talia Barlar

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.