Active NPIIndividual providerSole proprietor

Enrique Cruz, LCSW, LICSW, PMHNP, RN

Psychiatry & Neurology, Psychiatry in Burlington, Massachusetts

NPI Number1124595038
Practice location
41 Mall RD, Burlington, MA 01805-4063
Fax
—
Last updated
August 26, 2025

Enrique Cruz is a Psychiatry & Neurology, Psychiatry based in Burlington, MA. Enrique Cruz practices in Burlington, MA and has the professional credentials of LCSW, LICSW, PMHNP, RN. The NPI Number for Enrique Cruz is 1124595038 and holds a License No. 093513 (NY). The current practice location address for Enrique Cruz is 41 Mall RD, Burlington, MA 01805-4063 and can be reached out via phone at 781-744-8000.

Provider Profile Details

NPI Number
1124595038
Provider Name
Enrique Cruz
Credential
LCSW, LICSW, PMHNP, RN
Provider Entity Type
Individual
Gender
Male
Address
41 Mall RD, Burlington, MA 01805-4063
Phone Number
781-744-8000
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 29, 2018
Last Update Date
August 26, 2025
Certification Date
August 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Burlington, MA 01805-4063
Zip
01805-4063
Phone Number
781-744-8000
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
Po Box 24520
New York, NY 10087-3720
City
New York
State
NY
Zip
10087-3720
Fax Number
609-968-4193

License Information

License Number (1)
093513
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
125306
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
RN2390444
License State (3)
MA
Taxonomy (3)
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 Enrique Cruz, LCSW, LICSW, PMHNP, RN?

The NPI number of Enrique Cruz, LCSW, LICSW, PMHNP, RN is 1124595038. It was assigned on October 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Enrique Cruz, LCSW, LICSW, PMHNP, RN?

Enrique Cruz, LCSW, LICSW, PMHNP, RN is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 093513.

Where does Enrique Cruz, LCSW, LICSW, PMHNP, RN practice?

The practice location is 41 Mall RD, Burlington, MA 01805-4063. The office can be reached at 781-744-8000 (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 1124595038 directly on the NPPES registry website.

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