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HYDE PARK BEHAVIORAL HEALTH
NPI 1639765894
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Active since December 11, 2020
1234 HYDE PARK AVE, BOSTON, MA 02136(617) 413-6618(617) 333-8229 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2021, Dec 11, 2020 (2 updates tracked since 2020).

About Hyde Park Behavioral Health NPPES

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

HYDE PARK BEHAVIORAL HEALTH (NPI 1639765894) is a healthcare organization registered as a psychiatric/mental health in Boston, Massachusetts and active in the NPI registry since December 2020. The organization lists Clarence T Dennis, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1639765894
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHYDE PARK BEHAVIORAL HEALTH
Location Address1234 HYDE PARK AVEBoston, MA 02136-2819
Mailing Address1234 Hyde Park AveHyde Park, MA 02136-2819 · (617) 413-6618
Phone(617) 413-6618
Fax(617) 333-8229
Organization SubpartNo
Authorized OfficialClarence T DennisPsychiatric Nurse Practitioner · (617) 413-6618
Enumeration DateDecember 11, 2020
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1639765894 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
1234 HYDE PARK AVE, Boston, MA 02136
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyde Park Behavioral Health 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 Hyde Park Behavioral Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clarence Dennis, PMHNP-BC
Nurse Practitioner
NPI 1437494267
1234 HYDE PARK AVE SUITE 205
Hyde Park, MA 02136
(617) 413-6618
✔ PECOS✔ Accepts MedicareSame address

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 Hyde Park Behavioral Health's NPI number?

The NPI number for Hyde Park Behavioral Health is 1639765894. It was assigned to this organization in the NPPES registry on December 11, 2020.

Where is Hyde Park Behavioral Health located?

Hyde Park Behavioral Health is located at 1234 Hyde Park Ave, Boston, MA 02136. The listed phone number is (617) 413-6618.

What is Hyde Park Behavioral Health's specialty?

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

Is Hyde Park Behavioral Health enrolled in Medicare?

Yes. Hyde Park Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hyde Park Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hyde Park Behavioral Health. 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.

When was this NPI record last updated?

The NPPES record for Hyde Park Behavioral Health was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.