Beautiful Mind Psychiatric Mental Health Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

RN270513 Issued in 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

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Muriana Jeanniton, PMHNP-BCNPI 1255742235

Title

Nurse Practitioner/Entrepreneur

Phone

(781) 540-8541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muriana Jeanniton, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
  • NPI 1255742235
  Medicare reassignment Care Compare group NPD Authorized official
• Sherley Valcourt Boisvert, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
  • NPI 1902306897

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1780128835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DERBY ST",
            "address_2": "SUITE 200, OFFICE 213",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434216",
            "telephone_number": "781-556-1013",
            "fax_number": "781-885-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DERBY ST",
            "address_2": "SUITE 200, OFFICE 213",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434216",
            "telephone_number": "781-556-1013",
            "fax_number": "781-885-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MIND PSYCHIATRIC MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "JEANNITON",
        "authorized_official_first_name": "MURIANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ENTREPRENEUR",
        "authorized_official_telephone_number": "781-540-8541",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "RN270513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Barry, MSOT
• Aaron Baskin, LMHC
• Kyra Battaglia
• Erica E. Bayly, M.D.
• Sulsabeil Bayou, BCBA
• Amanda Catherine Beaver
• Laura Becerra, DMD, CAGS, MSD
• Robert M Beckhardt, M.D.
• Larisa Belisle, RNCS
• Kristy Hurley Bennett

• Community/Behavioral Health Agency in Hingham, MA
• Providers in Hingham, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.