Individual provider Active NPI

Stephanie D Grant-Whitney, PMHNP - BC, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hingham, MA
National Provider Identifier
1790460756
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2339796 Issued in MA
Practice address
160 Old Derby St Ste 457
Hingham, MA 02043-4062
Phone
(781) 801-9364
NPI assigned
Jun 19, 2023
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2339796 MA Primary

Addresses

Primary practice location

160 Old Derby St Ste 457
Hingham, MA 02043-4062

Mailing address

1204 Old Bridge LN
Bellingham, MA 02019-3128
Phone (781) 801-9364

Other practice location 1

67 West St Unit 200
Medfield, MA 02052-1577
Phone (781) 801-9364

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
I20240425003012 MA Practitioner - Nurse Practitioner 6305286246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

85 Patton Rd
Devens, MA 01434-4401
Phone (978) 615-5200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2339796MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devens Treatment & Recovery Center, LLC Psychiatric/Mental Health CurrentSince Feb 19, 2024 Accepting new patients
S. Grant LLC Psychiatric/Mental Health PastSince Jun 25, 2023 Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1790460756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 OLD BRIDGE LN",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020193128",
            "telephone_number": "781-801-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OLD DERBY ST STE 457",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434062",
            "telephone_number": "781-801-9364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 West St Unit 200",
            "address_purpose": "LOCATION",
            "city": "Medfield",
            "state": "MA",
            "postal_code": "020521577",
            "country_code": "US",
            "telephone_number": "781-801-9364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT-WHITNEY",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "PMHNP - BC, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2339796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.