Active NPI
Kathleen Louise Nelson, M.D.
- Psychiatry Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 784981
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861627317 | Other | HARVARD PILGRIM HEALTH CARE | |
| 1861627317 | Other | MEDICARE | |
| 1861627317 | Other | BLUE CROSS/BLUE SHIELD | |
| 1861627317 | Other | CIGNA | |
| 1861627317 | Other | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71654 | TN | MD | Forensic Psychiatry Physician |
| 784981 | MA | MD | Psychiatry Physician |
| 0101047884 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Hampshire Pathologists, Inc. | Current | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Psychiatry | Current | Accepting new patients |
| Cooley Dickinson Hospital Inc | Current | 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 | Current | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Dickenson Community Hospital, Inc. | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | 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. | Past | 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.
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Psychiatry
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Internal Medicine Physician
- Falmouth, MA
- NPI 1821363698
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Psychiatry
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1285759464
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- Urgent Care Clinic/Center
- Southampton, MA
- NPI 1932669272
-
- Anatomic Pathology & Clinical Pathology Physician
- Northampton, MA
- NPI 1750326161
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.