Unknown Individual – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1487894614
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
24, Fairview Street, Roslindale, Boston, Suffolk County, Massachusetts, 02131, United States
ROSLINDALE, MA 021311629
Phone: (617) 767-2793
Type: Mailing
1261, Furnace Brook Parkway, North Commons, Quincy, Norfolk County, Massachusetts, 02169, United States
SUITE #31
QUINCY, MA 021694721
Phone: (617) 479-4545
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Eisai Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eisai Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 197 | 59 | $0 |
Insurance plans in this area (ZIP 02131)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | MA | 90792 | Psychiatric diagnostic evaluation with medical services | 26 | 26 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Clinical Psychologist | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| - | MA | |
| - | MA | |
| Clinical Psychologist | VA | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA |
Reviews
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