Individual provider Active NPI

Kathleen Louise Nelson, M.D.

  • Psychiatry Physician
  • Beverly, MA
National Provider Identifier
1821067141
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
784981 Issued in MA
Practice address
100 Cummings Ctr
Suite 343F
Beverly, MA 01915-6115
Phone
(978) 338-5680
Fax
(978) 338-5681
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 71654 TN
Psychiatry Physician 2084P0800X 0101047884 VA
Forensic Psychiatry Physician 2084F0202X 0101047884 VA
Forensic Psychiatry Physician 2084F0202X 784981 MA
Psychiatry Physician 2084P0800X 784981 MA Primary
Psychiatry Physician 2084P0800X 71654 TN

Addresses

Primary practice location

100 Cummings Ctr
Suite 343F
Beverly, MA 01915-6115

Mailing address

100 Cummings Ctr Ste 343F
Beverly, MA 01915-6123
Phone (978) 338-5680

Other practice location 1

103 North St Ste A
Bristol, VA 24201-3201
Phone (276) 642-7901

Other practice location 2

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 3

71 S Flannagan Ave Ste A
Lebanon, VA 24266-4575
Phone (276) 415-9160

Other practice location 4

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 5

26 Queen St
Worcester, MA 01610-2473
Phone (508) 334-2670

Other practice location 6

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Other identifiers 5

IdentifierTypeStateIssuer
1861627317OtherHARVARD PILGRIM HEALTH CARE
1861627317OtherMEDICARE
1861627317OtherBLUE CROSS/BLUE SHIELD
1861627317OtherCIGNA
1861627317OtherTUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040719000105 MA Practitioner - Psychiatry 4880673375 Reassigns benefits to 7 organizations
I20241018002018 VA Practitioner - Psychiatry 4880673375 Reassigns benefits to 1 organization
I20241101000631 TN Practitioner - Psychiatry 4880673375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

103 N St
A
Bristol, VA 24201-3201
Phone (423) 844-5300

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71654TNMDForensic Psychiatry Physician
784981MAMDPsychiatry Physician
0101047884VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Dickinson Hospital Inc Current Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 10, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Aug 6, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 26, 2017 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Saint Vincent Physician Services, Inc. Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince May 17, 2024 Accepting new patients
Umass Memorial Medical Group Inc Psychiatry Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Physicians of Falmouth Hospital CurrentSince Oct 27, 2025 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince May 17, 2024 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Oct 27, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 26, 2017 Accepting new patients
Dickenson Community Hospital, Inc. Current Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 10, 2023 Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
North Suffolk Community Services Inc. PastSince Oct 20, 1997 Accepting new patients
Cape Cod Hospital Inc Past Accepting new patients

Locations

85 Newton St
Boston, MA 02118
Phone (617) 305-9960

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

298 Washington St
Gloucester, MA 01930
Phone (978) 283-4000

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
Ste 325
Worcester, MA 01608
Phone (508) 363-6196

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1821067141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 343F",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156123",
            "telephone_number": "978-338-5680",
            "fax_number": "978-338-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 343F",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-338-5680",
            "fax_number": "978-338-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 North St Ste A",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242013201",
            "country_code": "US",
            "telephone_number": "276-642-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 S Flannagan Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664575",
            "country_code": "US",
            "telephone_number": "276-415-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Queen St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016102473",
            "country_code": "US",
            "telephone_number": "508-334-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011794",
            "country_code": "US",
            "telephone_number": "508-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TN",
            "license": "71654",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101047884",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "VA",
            "license": "0101047884",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MA",
            "license": "784981",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "784981",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "71654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "1861627317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1861627317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1861627317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1861627317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1861627317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.