Individual provider Active NPI

Kathleen Denise Mendez, PMHNP-BC, CNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Whitinsville, MA
National Provider Identifier
1972178770
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2339643 Issued in MA
Practice address
95 Church St
Whitinsville, MA 01588-1478
Phone
(774) 573-6671
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2339643 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2339643 MA Primary

Addresses

Primary practice location

95 Church St
Whitinsville, MA 01588-1478

Mailing address

95 Church St
Whitinsville, MA 01588-1478
Phone (774) 573-6671

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
I20230404002209 MA Practitioner - Nurse Practitioner 5193190163 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Periwinkle Health & Wellness LLC Psychiatric/Mental Health CurrentSince May 14, 2025 Accepting new patients

Locations

95 Church St
Whitinsville, MA 01588
Phone (774) 573-6671

Organizations & group practices 1

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1972178770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015881478",
            "telephone_number": "774-573-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015881478",
            "telephone_number": "774-573-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "KATHLEEN",
        "middle_name": "DENISE",
        "credential": "PMHNP-BC, CNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2339643",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2339643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitinsville, MA

Sources for this page

Verify at the official NPI Registry.