Active NPIIndividual providerSole proprietor

Itoko Kikuchi, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Dorchester, Massachusetts

NPI Number1235374414
Practice location
415 Neponset Ave, Fl 3, Dorchester, MA 02122
Fax
—
Last updated
December 26, 2018

Itoko Kikuchi is a Nurse Practitioner, Psych/Mental Health based in Dorchester, MA. Itoko Kikuchi practices in Dorchester, MA and has the professional credentials of PMHNP-BC. The NPI Number for Itoko Kikuchi is 1235374414 and holds a License No. RN2292722 (MA). The current practice location address for Itoko Kikuchi is 415 Neponset Ave, Fl 3, Dorchester, MA 02122 and can be reached out via phone at 857-217-3700.

Provider Profile Details

NPI Number
1235374414
Provider Name
Itoko Kikuchi
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
415 Neponset Ave, Fl 3, Dorchester, MA 02122
Phone Number
857-217-3700
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2008
Last Update Date
December 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Neponset Ave
Fl 3
Dorchester, MA 02122
Zip
02122
Phone Number
857-217-3700
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
415 Neponset Ave
Fl 3
Dorchester, MA 02122
City
Dorchester
State
MA
Zip
02122
Phone Number
857-217-3700

License Information

Taxonomy (1)
Community/Behavioral Health · 251S00000X
License Number (2)
RN2292722
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Itoko Kikuchi, PMHNP-BC?

The NPI number of Itoko Kikuchi, PMHNP-BC is 1235374414. It was assigned on December 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Itoko Kikuchi, PMHNP-BC?

Itoko Kikuchi, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2292722.

Where does Itoko Kikuchi, PMHNP-BC practice?

The practice location is 415 Neponset Ave, Fl 3, Dorchester, MA 02122. The office can be reached at 857-217-3700 (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 1235374414 directly on the NPPES registry website.

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