Active NPI
Michael Pascale
- Psychiatric/Mental Health Nurse Practitioner
- Hingham, MA
National Provider Identifier
1760118947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN328697
- Practice address
- 160 Old Derby St
Hingham, MA 02043-4005 - Phone
- (781) 837-8833
- NPI assigned
- Jul 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2326935 | MA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN2326935 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN328697 | GA | Primary |
Addresses
Primary practice location
160 Old Derby St
Hingham, MA 02043-4005
Mailing address
485 Huntington Rd Ste 199-202
Athens, GA 30606-1861
Phone (908) 432-6652
Other practice location 1
485 Huntington Rd Ste 199-202
Athens, GA 30606-1861
Phone (908) 432-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN328697 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN2326935 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pascale Psychiatric Services LLC | Single Specialty | Current | Accepting new patients |
| Pascale Psychiatric Services LLC | Single Specialty | Current | Accepting new patients |
Locations
485 Huntington Rd
Ste 199202
Athens, GA 30606
Phone (617) 468-6893
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Athens, GA
- NPI 1316762743
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Athens, GA
- NPI 1689520561
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1760118947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 HUNTINGTON RD STE 199-202",
"city": "ATHENS",
"state": "GA",
"postal_code": "306061861",
"telephone_number": "908-432-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 OLD DERBY ST",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434005",
"telephone_number": "781-837-8833"
}
],
"practiceLocations": [
{
"address_1": "485 Huntington Rd Ste 199-202",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306061861",
"country_code": "US",
"telephone_number": "908-432-6652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASCALE",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-28",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2326935",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2326935",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN328697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.