Individual provider Active NPI

Sandra Bellerice, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1831496157
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022044098 Issued in MA
Practice address
10 Mazzeo Dr
Randolph, MA 02368-3433
Phone
(617) 296-6338
Fax
(617) 801-8225
NPI assigned
Feb 23, 2011
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN23114593 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022044098 MA Primary
Licensed Vocational Nurse 164X00000X LN87319 MA

Addresses

Primary practice location

10 Mazzeo Dr
Randolph, MA 02368-3433

Mailing address

12 Mayflower Rd
Holbrook, MA 02343-1630
Phone (857) 919-2037

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
I20230111000272 MA Practitioner - Nurse Practitioner 4385014265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LN87319MAMDLicensed Vocational Nurse
2022044098MAMDPsychiatric/Mental Health Nurse Practitioner
RN23114593MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Area Multi-Services, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Inspired by Belsa LLC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Healthdrive Behavioral Health Services, PLLC Psychiatric/Mental Health CurrentSince Feb 10, 2025 Accepting new patients
Whitman Counseling PastSince Jan 1, 2023 Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

10 Mazzeo Dr
Ste 201H
Randolph, MA 02368
Phone (617) 296-6338

288 Bedford St
Whitman, MA 02382
Phone (781) 447-6425

Interoperability endpoints

  • Direct secure messaging: sandra.bellerice.1@19377.direct.athenahealth.com

Organizations & group practices 5

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1831496157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAYFLOWER RD",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023431630",
            "telephone_number": "857-919-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAZZEO DR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683433",
            "telephone_number": "617-296-6338",
            "fax_number": "617-801-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLERICE",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN23114593",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2022044098",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "MA",
            "license": "LN87319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.