SOUTH OF BOSTON PSYCHIATRIC & EMOTIONAL SUPPORT LLC
NPI 1417679770
Nurse Practitioner - Psychiatric/Mental Health in Norwell, MA

Active since September 14, 2022
133 WASHINGTON ST, NORWELL, MA 02061(781) 925-1106 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Nov 11, 2022, Sep 14, 2022 (3 updates tracked since 2022).

About South Of Boston Psychiatric & Emotional Support Llc NPPES

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

SOUTH OF BOSTON PSYCHIATRIC & EMOTIONAL SUPPORT LLC (NPI 1417679770) is a healthcare organization registered as a psychiatric/mental health in Norwell, Massachusetts and active in the NPI registry since September 2022. The organization lists Linda Sheppard-reece, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1417679770
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTH OF BOSTON PSYCHIATRIC & EMOTIONAL SUPPORT LLC
Location Address133 WASHINGTON STNorwell, MA 02061-1755
Mailing Address133 Washington StNorwell, MA 02061-1755
Organization SubpartNo
Authorized OfficialLinda Sheppard-reecePmhnp-bc · (617) 404-5253
Enumeration DateSeptember 14, 2022
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1417679770 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
133 WASHINGTON ST, Norwell, MA 02061

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Of Boston Psychiatric & Emotional Support Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Of Boston Psychiatric & Emotional Support LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1023495538
20 WINTER ST
Pembroke, MA 02359
(781) 312-1393
✔ PECOS✔ Accepts Medicare7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 South Of Boston Psychiatric & Emotional Support LLC's NPI number?

The NPI number for South Of Boston Psychiatric & Emotional Support LLC is 1417679770. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is South Of Boston Psychiatric & Emotional Support LLC located?

South Of Boston Psychiatric & Emotional Support LLC is located at 133 Washington St, Norwell, MA 02061. The listed phone number is (781) 925-1106.

What is South Of Boston Psychiatric & Emotional Support LLC's specialty?

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

Is South Of Boston Psychiatric & Emotional Support LLC enrolled in Medicare?

Yes. South Of Boston Psychiatric & Emotional Support LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Of Boston Psychiatric & Emotional Support LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to South Of Boston Psychiatric & Emotional Support LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Of Boston Psychiatric & Emotional Support LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list South Of Boston Psychiatric & Emotional Support LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Of Boston Psychiatric & Emotional Support LLC was last updated on October 25, 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.