Tanya Gershman, MSN, CNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2369053 Issued in MA

Practice address

124 Watertown St Ste 2D
Watertown, MA 02472-2500

Phone

(617) 916-5069

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Square Medical Group LLCGroup PAC ID 6608991187, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Square Medical Group LLC

  • Adult Mental Health Clinic/Center
  • Watertown, MA
  • NPI 1356515464
  Medicare reassignment Care Compare group NPD
• Square Medical Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watertown, MA
  • NPI 1760957609
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1982321055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 2D",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-916-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 2D",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-916-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHMAN",
        "first_name": "TANYA",
        "credential": "MSN, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2369053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaze Optical, LLC
• Patricia Alison Geller, ED.D.
• Christine M Gendron, B.A.
• Linda Germaine-Miller, RD
• Ted German, MSW LCSW
• Bridget Lee Gerstel, PSYD
• Liana Ghazaryan, DMD
• Jessica Giannone
• Stephanie Gilbert
• Kaleigh Gilliland

• Psychiatric/Mental Health Nurse Practitioner in Watertown, MA
• Providers in Watertown, 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 Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.