Individual provider Active NPI

Catherine A Jaffe, PMH. CNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Arlington, MA
National Provider Identifier
1912186149
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
183994 Issued in MA
Practice address
Catherine Jaffe
58 Medford St
Arlington, MA 02474
Phone
(857) 756-3694
Fax
(617) 475-5019
NPI assigned
Oct 24, 2007
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 183994 MA Primary

Addresses

Primary practice location

Catherine Jaffe
58 Medford St
Arlington, MA 02474

Mailing address

Catherine Jaffe
58 Medford Street
Arlington, MA 02474
Phone (857) 756-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183994MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health System Inc Psychiatric/Mental Health, Adult Past Accepting new patients
Bernell Therapy, LLC PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1912186149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CATHERINE JAFFE",
            "address_2": "58 MEDFORD STREET",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02474",
            "telephone_number": "857-756-3694",
            "fax_number": "617-475-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CATHERINE JAFFE",
            "address_2": "58 MEDFORD ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02474",
            "telephone_number": "857-756-3694",
            "fax_number": "617-475-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "PMH. CNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "183994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.