Individual provider Active NPI

Catherine Mattei-Williams, APRN, RNCS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Somerville, MA
National Provider Identifier
1982791364
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
70000133A Issued in IN
Practice address
26 Central St
Somerville, MA 02143-2827
Phone
(617) 591-6377
NPI assigned
Oct 6, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X RN2297886 MA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 078750-23 NH
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 70000133A IN Primary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 078750-23 NH
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 70000133A HI

Addresses

Primary practice location

26 Central St
Somerville, MA 02143-2827

Mailing address

5101 E US Highway 36
Ste 100
Avon, IN 46123-6646
Phone (603) 889-6147

Other practice location 1

850 N Meridian St
Indianapolis, IN 46204-1098
Phone (317) 612-2723

Other practice location 2

7 Prospect St.
Nashua, NH 03060
Phone (603) 889-6147

Other identifiers 2

IdentifierTypeStateIssuer
28128250AOtherNYREGISTERED NURSE
70000133AOtherINCLINICAL NURSE SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20160516001910 VT Practitioner - Certified Clinical Nurse Specialist (CNS) 9830377373 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70000133AHIMDGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
078750-23NHMDGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eskenazi Medical Group Inc Clinical Nurse Specialist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982791364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 E US HIGHWAY 36",
            "address_2": "STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236646",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CENTRAL ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432827",
            "telephone_number": "617-591-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041098",
            "country_code": "US",
            "telephone_number": "317-612-2723",
            "fax_number": "317-612-2724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Prospect St.",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "03060",
            "country_code": "US",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTEI-WILLIAMS",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "APRN, RNCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MA",
            "license": "RN2297886",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NH",
            "license": "078750-23",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IN",
            "license": "70000133A",
            "primary": true
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "NH",
            "license": "078750-23",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "HI",
            "license": "70000133A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "28128250A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL NURSE SPECIALIST",
            "identifier": "70000133A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.