Sherley Valcourt Boisvert, CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Randolph, MA
NPI 1902306897 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1902306897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2259994 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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 PLLC
Beautiful Mind Psychiatric Mental Health Services, LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210126002079 | MA | Practitioner - Nurse Practitioner | 9739591843 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Brain Health PLLC | Current |
Accepting new patients | |
| Beautiful Mind Psychiatric Mental Health Services, LLC | Single Specialty | Current |
Accepting new patients |
| Center for Brain Health PLLC | Single Specialty | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | RN2259994 | MA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | svboisvert@beautifulmindpsychiatry.org | Health Information Exchange (HIE) |
Other providers in Randolph, MA
- Colette Blaise-Bycinte
- Blessing Group Home
- Blessinggrouphome
- Blondels Health Services LLC
- Body Sculpt and Nutrition Consulting, LLC
- Roniqua A Bond
- Boneguard Orthopedics, P.C.
- Jakelin Bonilla
- Christine Bonitatibus
- Matao A Bonner
All providers in Randolph, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.