Organization Active NPI

Caitrin Salvucci NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brighton, MA
National Provider Identifier
1992380307
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CAITRIN SALVUCCI NP
Practice address
56 Chestnut Hill Ave
Brighton, MA 02135-3398
Phone
(617) 299-9889
Fax
(781) 558-9191
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Caitrin Salvucci, NPNPI 1629209135
Title
Owner
Phone
(617) 299-9889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

56 Chestnut Hill Ave
Brighton, MA 02135-3398

Mailing address

56 Chestnut Hill Ave Ste 104a
Brighton, MA 02135-3398
Phone (617) 299-9889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604000916 MA Part B Supplier - Clinic/Group Practice 9436558871 Receives reassigned benefits from 1 practitioner
Practice locations: Brighton, MA

National Provider Directory

National Provider Directory

Locations

56 Chestnut Hill Ave
Ste 104A
Brighton, MA 02135
Phone (617) 299-9889

56 Chestnut Hill Ave
Brighton, MA 02135
Phone (617) 299-9889

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1992380307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CHESTNUT HILL AVE STE 104A",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353398",
            "telephone_number": "617-299-9889",
            "fax_number": "781-558-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CHESTNUT HILL AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353398",
            "telephone_number": "617-299-9889",
            "fax_number": "781-558-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITRIN SALVUCCI NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "SALVUCCI",
        "authorized_official_first_name": "CAITRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-299-9889",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.