Individual provider Active NPI

Caryn Metzger Smith, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Jamaica Plain, MA
National Provider Identifier
1922246743
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN272217 Issued in MA
Practice address
170 Morton St
Jamaica Plain, MA 02130-3735
Phone
(617) 619-5903
Fax
(617) 971-3853
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 RN272217 MA Primary

Addresses

Primary practice location

170 Morton St
Jamaica Plain, MA 02130-3735

Mailing address

170 Morton St
Jamaica Plain, MA 02130-3735
Phone (617) 619-5903

Other names 1

  • Caryn Metzger Professional 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
I20090205000271 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 6800950825 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Cove Human Services, Inc CurrentSince Aug 23, 2011 Accepting new patients
Bay Cove Human Services Inc CurrentSince Aug 23, 2011 Accepting new patients
Greater Boston Psychiatric Services, LLC Past Accepting new patients

Locations

66 Canal St
Fl 2
Boston, MA 02114
Phone (617) 825-5000

66 Canal St
Boston, MA 02114
Phone (617) 371-3040

1500 Dorchester Ave
Dorchester, MA 02122
Phone (617) 619-6962

170 Morton St
Jamaica Plain, MA 02130
Phone (617) 541-3670

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1922246743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-619-5903",
            "fax_number": "617-971-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-619-5903",
            "fax_number": "617-971-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER SMITH",
        "first_name": "CARYN",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN272217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARYN",
            "last_name": "METZGER",
            "credential": "CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.