Active NPIIndividual providerSole proprietor

Johannah J Hetherington, RN

Psychiatry & Neurology, Psychiatry in Mansfield, Massachusetts

NPI Number1114806452
Practice location
20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183
Fax
—
Last updated
August 30, 2025

Johannah Joy Hetherington is a Psychiatry & Neurology, Psychiatry based in Mansfield, MA. Johannah Joy Hetherington practices in Mansfield, MA and has the professional credentials of RN. The NPI Number for Johannah Joy Hetherington is 1114806452 and holds a License No. 2359065 (MA). The current practice location address for Johannah Joy Hetherington is 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183 and can be reached out via phone at 781-202-1565.

Provider Profile Details

NPI Number
1114806452
Provider Name
Johannah Joy Hetherington
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183
Phone Number
781-202-1565
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2025
Last Update Date
August 30, 2025
Certification Date
August 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Zip
02048-1183
Phone Number
781-202-1565
Mansfield, MA 02048Get directions →

Provider Business Mailing Address Details

Address
20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
City
Mansfield
State
MA
Zip
02048-1183
Phone Number
781-202-1565

License Information

License Number
2359065
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johannah J Hetherington, RN?

The NPI number of Johannah J Hetherington, RN is 1114806452. It was assigned on August 30, 2025 and is currently active in the NPPES registry.

What is the specialty of Johannah J Hetherington, RN?

Johannah J Hetherington, RN is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 2359065.

Where does Johannah J Hetherington, RN practice?

The practice location is 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183. The office can be reached at 781-202-1565 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114806452 directly on the NPPES registry website.

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