Beautiful Mind Psychiatric Mental Health Services, LLC
Organization Active NPI Community/Behavioral Health Agency · Hingham, MA
NPI 1780128835 · NPPES record last updated Dec 8, 2016
Key facts
- NPI
- 1780128835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- RN270513 (MA)
- Legal business name
- BEAUTIFUL MIND PSYCHIATRIC MENTAL HEALTH SERVICES, LLC
- Practice address
- 99 Derby St
Suite 200, Office 213
Hingham, MA 02043-4216 - Phone
- (781) 556-1013
- Fax
- (781) 885-0397
- NPI assigned
- Dec 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Muriana Jeanniton, PMHNP-BC
- Title
- Nurse Practitioner/Entrepreneur
- Phone
- (781) 540-8541
Practitioners 2
-
Muriana Jeanniton, CNP, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171207001289 | MA | Part B Supplier - Clinic/Group Practice | 8820355423 |
Receives reassigned benefits from 2 practitioners Practice locations: Randolph, MA |
National Provider Directory
Locations
500 N Main St
Ste C
Randolph, MA 02368
Phone (781) 885-7278
490 N Main St
Randolph, MA 02368
Phone (781) 510-9730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | RN270513 | MA | Yes |
Addresses
Primary practice location
99 Derby St
Suite 200, Office 213
Hingham, MA 02043-4216
Mailing address
99 Derby St
Suite 200, Office 213
Hingham, MA 02043-4216
Phone (781) 556-1013
Other providers in Hingham, MA
- Andrea Barnes
- Mackenzie Barry
- Kyra Battaglia
- Erica E. Bayly
- Sulsabeil Bayou
- Amanda Catherine Beaver
- Laura Becerra
- Robert M Beckhardt
- Larisa Belisle
- Kristy Hurley Bennett
All providers in Hingham, MA · Community/Behavioral Health Agency in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.