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MS. MARY ELLEN GORMAN RN CS MS NPI 1235176538


NPI Information

NPI: 1235176538
Provider Name: MS. MARY ELLEN GORMAN, RN CS MS
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
42 WASHINGTON ST
SUITE 210
WELLESLEY, MA
ZIP 02481
Phone: (781) 431-1990
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MS. Mary Ellen Gorman, RN CS MS is a psychiatric/mental health and adult registered nurse in Wellesley, MA with 31 years of experience. MS. Mary Ellen Gorman, RN CS MS NPI is 1235176538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

42 WASHINGTON ST
SUITE 210
WELLESLEY, MA
ZIP 02481
Phone: (781) 431-1990
Fax: (781) 416-4321

The NPI 1235176538 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90836)

The enumeration date for this NPI number is 6/2/2006 and was last updated on 1/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult161364MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1478906OTHERMASSACHUSETTSTUFTS
2PN0802OTHERMASSACHUSETTSBLUE CROSS
3P91195MEDICARE UPIN
4NS0682MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.