Frontline Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FRONTLINE PSYCHIATRIC SERVICES LLC

Practice address

1 W Foster St Ste 11
Melrose, MA 02176-3879

Phone

(917) 587-1341

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Nixon Cornay, NPNPI 1164835211

Title

Psychiatric Nurse Practitioner

Phone

(917) 587-1341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nixon Cornay

  • Nurse Practitioner
  • Melrose, MA
  • NPI 1164835211

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Maybelle Mbiatem

  • Psychiatric/Mental Health Nurse Practitioner
  • Melrose, MA
  • NPI 1437888096
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1962037473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST STE 11",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST STE 11",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763879",
            "telephone_number": "917-587-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "CORNAY",
        "authorized_official_first_name": "NIXON",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-587-1341",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Foley, RN, BSN, IBCLC
• Martin P. Ford, LADC II
• Chris Foresman, CPHT, PRS, CPHT, PRS
• Victor Paul Fournier, R.PH.
• Neil Fried, D.M.D.
• Chris-Ann Fullen, PTA
• Alyssa M Funicella, MSN, RN, FNP-C
• Valerie Christina Fusco, NP-C
• Jacqueline J Gagliardi, M.ED.
• Zina E Gambacorta, DMD

• Psychiatric/Mental Health Nurse Practitioner in Melrose, MA
• Providers in Melrose, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.