Ms. Kemealo D Moussatcha, NP
Nurse Practitioner, Psych/Mental Health in Malden, Massachusetts
1245833805- Practice location
- 75 Pleasant St, Malden, MA 02148-3087
- Phone
- 617-756-8310
- Fax
- 781-605-0528
- Last updated
- July 21, 2026
Kemealo Diane Moussatcha is a Nurse Practitioner, Psych/Mental Health based in Malden, MA. Kemealo Diane Moussatcha practices in Malden, MA and has the professional credentials of NP. The NPI Number for Kemealo Diane Moussatcha is 1245833805 and holds a License No. RN2302863 (MA). The current practice location address for Kemealo Diane Moussatcha is 75 Pleasant St, Malden, MA 02148-3087 and can be reached out via phone at 617-756-8310 and via fax at 781-605-0528.
Provider Profile Details
- NPI Number
- 1245833805
- Provider Name
- Kemealo Diane Moussatcha
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Pleasant St, Malden, MA 02148-3087
- Phone Number
- 617-756-8310
- Fax Number
- 781-605-0528
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 17, 2020
- Last Update Date
- July 21, 2026
- Certification Date
- July 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Pleasant St
Malden, MA 02148-3087 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-3087
- Phone Number
- 617-756-8310
- Fax Number
- 781-605-0528
Provider Business Mailing Address Details
- Address
- 75 Pleasant St
Malden, MA 02148-3087 - City
- Malden
- State
- MA
- Zip
- 02148-3087
- Phone Number
- 617-756-8310
- Fax Number
- 781-605-0528
License Information
- License Number
- RN2302863
- License State
- MA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Kemealo D Moussatcha, NP?
The NPI number of Ms. Kemealo D Moussatcha, NP is 1245833805. It was assigned on November 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Ms. Kemealo D Moussatcha, NP?
Ms. Kemealo D Moussatcha, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2302863.
Where does Ms. Kemealo D Moussatcha, NP practice?
The practice location is 75 Pleasant St, Malden, MA 02148-3087. The office can be reached at 617-756-8310 (phone) or 781-605-0528 (fax).
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 1245833805 directly on the NPPES registry website.