Individual provider Active NPI

Katherine Marie Hayden, RN,CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • North Dartmouth, MA
National Provider Identifier
1912212887
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
265336 Issued in MA
Practice address
49 State Rd
North Dartmouth, MA 02747-3322
Phone
(508) 973-9240
Fax
(508) 973-0356
NPI assigned
Aug 16, 2010
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 Clinical Nurse Specialist 364SP0808X 265336 MA Primary

Addresses

Primary practice location

49 State Rd
North Dartmouth, MA 02747-3322

Mailing address

200 Mill Rd
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other names 1

  • Katherine Marie Davis Former name

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
I20120306000996 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 3173782414 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265336MAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Corporation CurrentSince Feb 27, 2017 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 22, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 22, 2024 Accepting new patients
Psychological Care Associates, P.C. PastSince Sep 6, 1993 Accepting new patients
Child and Family Psychological Services, PLLC Psychiatric/Mental Health PastSince Sep 19, 2018 Accepting new patients

Locations

800 Cummings Ctr
Ste 266T
Beverly, MA 01915

199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 524-7100

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128

49 State Rd
North Dartmouth, MA 02747
Phone (508) 973-9240

Interoperability endpoints

  • Direct secure messaging: kdavis78985@direct.southcoast.org

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1912212887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "508-973-9240",
            "fax_number": "508-973-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "RN,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "265336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DAVIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.