Individual provider Active NPI

Sophia Montissol, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1821596149
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2305589 Issued in MA
Practice address
625 Mount Auburn St
Cambridge, MA 02138-4555
Phone
(617) 223-7183
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2305589 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2305589 MA Primary

Addresses

Primary practice location

625 Mount Auburn St
Cambridge, MA 02138-4555

Mailing address

993 South St
Roslindale, MA 02131-2307

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
I20191023000188 MA Practitioner - Nurse Practitioner 8820320955 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

300 Mount Auburn St
Suite 517
Cambridge, MA 02138-5665
Phone (617) 868-0847

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
23005589MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc CurrentSince May 1, 2021 Accepting new patients
Mt Auburn Professional Services CurrentSince May 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Path of Wellness LLC CurrentSince Mar 21, 2021 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Apr 27, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

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

227 Babcock St
Brookline, MA 02446
Phone (617) 731-3200

625 Mount Auburn St
Cambridge, MA 02138
Phone (617) 354-5658

300 Mount Auburn St
Ste 517
Cambridge, MA 02138
Phone (617) 666-6140

2100 Dorchester Ave
#2214
Dorchester Center, MA 02124
Phone (617) 506-2840

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: smontissol105374@direct.bilh.masshiway.net

Organizations & group practices 7

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.

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1821596149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 SOUTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384555",
            "telephone_number": "617-223-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTISSOL",
        "first_name": "SOPHIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2305589",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2305589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.