SUDBURY BROOK MENTAL HEALTH LLC
NPI 1902558422
Nurse Practitioner - Psychiatric/Mental Health in Sudbury, MA

Active since January 25, 2022
23 VILLAGE RD, SUDBURY, MA 01776(978) 793-5628 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sudbury Brook Mental Health Llc NPPES

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

SUDBURY BROOK MENTAL HEALTH LLC (NPI 1902558422) is a healthcare organization registered as a psychiatric/mental health in Sudbury, Massachusetts and active in the NPI registry since January 2022. The organization lists Taixiang Saur, Owner, as its authorized official.

NPPES Registry Identity

NPI1902558422
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUDBURY BROOK MENTAL HEALTH LLC
Location Address23 VILLAGE RDSudbury, MA 01776-1337
Mailing Address23 Village RdSudbury, MA 01776-1337 · (978) 793-5628
Organization SubpartNo
Authorized OfficialTaixiang SaurOwner · (978) 793-5628
Enumeration DateJanuary 25, 2022
NPPES CertifiedJanuary 25, 2022
✔ NPI 1902558422 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
23 VILLAGE RD, Sudbury, MA 01776

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)

Sudbury Brook Mental Health 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 Sudbury Brook Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1285296632
500 VICTORY RD
Quincy, MA 02171
(800) 852-2844
✔ PECOS✔ Accepts Medicare21 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 Sudbury Brook Mental Health LLC's NPI number?

The NPI number for Sudbury Brook Mental Health LLC is 1902558422. It was assigned to this organization in the NPPES registry on January 25, 2022.

Where is Sudbury Brook Mental Health LLC located?

Sudbury Brook Mental Health LLC is located at 23 Village Rd, Sudbury, MA 01776. The listed phone number is (978) 793-5628.

What is Sudbury Brook Mental Health LLC's specialty?

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

Is Sudbury Brook Mental Health LLC enrolled in Medicare?

Yes. Sudbury Brook Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sudbury Brook Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sudbury Brook Mental Health 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 Sudbury Brook Mental Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Sudbury Brook Mental Health 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 Sudbury Brook Mental Health LLC was last updated on January 25, 2022. 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.