Individual provider Active NPI

Sherley Valcourt Boisvert, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1902306897
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2259994 Issued in MA
Practice address
500 N Main St Ste C
Randolph, MA 02368-6700
Phone
(781) 885-7278
Fax
(781) 885-0397
NPI assigned
Feb 16, 2018
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN2259994 MA Primary

Addresses

Primary practice location

500 N Main St Ste C
Randolph, MA 02368-6700

Mailing address

500 N Main St # 2
Randolph, MA 02368-6700
Phone (781) 885-7278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svboisvert@beautifulmindpsychiatry.org Health Information Exchange (HIE)

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
I20210126002079 MA Practitioner - Nurse Practitioner 9739591843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Brain Health PLLCGroup PAC ID 8527334911, 7 clinicians
Beautiful Mind Psychiatric Mental Health Services, LLCGroup PAC ID 8820355423, 2 clinicians

Practice addresses (Care Compare)

1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 855-7288

500 N Main St
Suite C
Randolph, MA 02368-6700
Phone (781) 885-7278

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2259994MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Brain Health PLLC Single Specialty CurrentSince Sep 7, 2023 Accepting new patients
Beautiful Mind Psychiatric Mental Health Services, LLC Single Specialty CurrentSince Oct 22, 2020 Accepting new patients
Center for Brain Health PLLC CurrentSince Sep 7, 2023 Accepting new patients

Locations

1101 Beacon St
Ste 8W
Brookline, MA 02446
Phone (617) 277-5510

490 N Main St
#2
Randolph, MA 02368
Phone (781) 987-2106

500 N Main St
Ste C
Randolph, MA 02368
Phone (781) 885-7278

Interoperability endpoints

  • Direct secure messaging: svboisvert@beautifulmindpsychiatry.org

Organizations & group practices 3

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1902306897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST # 2",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-885-7278",
            "fax_number": "781-885-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST STE C",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-885-7278",
            "fax_number": "781-885-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "SHERLEY",
        "middle_name": "VALCOURT",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2259994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svboisvert@beautifulmindpsychiatry.org",
            "affiliation": "N",
            "endpointDescription": "Professional email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Healthcare",
            "address_1": "500 N Main St",
            "city": "Randolph",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023686700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.