MENDED ROOT
NPI 1053095117
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Q: What is Mended Root's NPI number?

The NPI number for Mended Root is 1053095117. It was assigned to this organization in the NPPES registry on June 9, 2023.

Q: What is Mended Root's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mended Root was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2023

6 LIBERTY SQUARE PMB 6181, BOSTON, MA 02109(802) 500-1114 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mended Root NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDED ROOT (NPI 1053095117) is a healthcare organization registered as a psychiatric/mental health in Boston, Massachusetts and active in the NPI registry since June 2023. The organization lists Michelle Cataldo, Practioner, as its authorized official.

NPPES Registry Identity

NPI1053095117

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMENDED ROOT

Location Address6 LIBERTY SQUARE PMB 6181Boston, MA 02109-5800

Mailing Address280 River RdWinthrop, MA 02152-1750 · (617) 212-0938

Phone(802) 500-1114

Organization SubpartNo

Authorized OfficialMichelle CataldoPractioner · (617) 212-0938

Enumeration DateJune 9, 2023

NPPES CertifiedJune 9, 2023

✔ NPI 1053095117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

6 LIBERTY SQUARE PMB 6181, Boston, MA 02109

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mended Root's NPI number?

The NPI number for Mended Root is 1053095117. It was assigned to this organization in the NPPES registry on June 9, 2023.

Where is Mended Root located?

Mended Root is located at 6 Liberty Square Pmb 6181, Boston, MA 02109. The listed phone number is (802) 500-1114.

What is Mended Root's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mended Root was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.