Individual provider Active NPI

Hali Ann Massri, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, MA
National Provider Identifier
1972099026
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2306738 Issued in MA
Practice address
5 Hampshire St Ste 100B
Mansfield, MA 02048-1284
Phone
(781) 551-0999
Fax
(781) 551-3396
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 Nurse Practitioner 363LP0808X RN2306738 MA Primary

Addresses

Primary practice location

5 Hampshire St Ste 100B
Mansfield, MA 02048-1284

Mailing address

47 High St Unit B
Mansfield, MA 02048-2146
Phone (774) 253-2846

Other practice location 1

47 High St Unit B
Mansfield, MA 02048-2146
Phone (508) 514-8045

Other names 1

  • Hali Ann Kovich 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
I20230911000495 MA Practitioner - Nurse Practitioner 4688038623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

5 Hampshire St
Suite 100B
Mansfield, MA 02048-1284
Phone (781) 551-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2306738MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Minds Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 29, 2024 Accepting new patients
Child and Family Psychological Services, PLLC CurrentSince Jul 26, 2023 Accepting new patients

Locations

5 Hampshire St
Ste 100B
Mansfield, MA 02048

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.halimassri@139414.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1972099026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HIGH ST UNIT B",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482146",
            "telephone_number": "774-253-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAMPSHIRE ST STE 100B",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481284",
            "telephone_number": "781-551-0999",
            "fax_number": "781-551-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 High St Unit B",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020482146",
            "country_code": "US",
            "telephone_number": "508-514-8045",
            "fax_number": "508-213-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSRI",
        "first_name": "HALI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2306738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALI",
            "last_name": "KOVICH",
            "middle_name": "ANN",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.