Lillian Derosa, PMHNP-BC, BSN, RN
Nurse Practitioner, Psych/Mental Health in Canton, Massachusetts
1609384221- Practice location
- 238 High St, Canton, MA 02021-3654
- Phone
- 617-755-6020
- Fax
- —
- Last updated
- March 5, 2025
Lillian Derosa is a Nurse Practitioner, Psych/Mental Health based in Canton, MA. Lillian Derosa practices in Canton, MA and has the professional credentials of PMHNP-BC, BSN, RN. The NPI Number for Lillian Derosa is 1609384221 and holds a License No. RN2302862 (MA). The current practice location address for Lillian Derosa is 238 High St, Canton, MA 02021-3654 and can be reached out via phone at 617-755-6020.
Provider Profile Details
- NPI Number
- 1609384221
- Provider Name
- Lillian Derosa
- Credential
- PMHNP-BC, BSN, RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 238 High St, Canton, MA 02021-3654
- Phone Number
- 617-755-6020
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 17, 2018
- Last Update Date
- March 5, 2025
- Certification Date
- March 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 238 High St
Canton, MA 02021-3654 - City
- Canton
- State
- Massachusetts
- Zip
- 02021-3654
- Phone Number
- 617-755-6020
Provider Business Mailing Address Details
- Address
- 25 Owencroft RD
Dorchester, MA 02124-4723 - City
- Dorchester
- State
- MA
- Zip
- 02124-4723
License Information
- License Number (1)
- RN2302862
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (2)
- RN2302862
- License State (2)
- MA
- Taxonomy (2)
- 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 Lillian Derosa, PMHNP-BC, BSN, RN?
The NPI number of Lillian Derosa, PMHNP-BC, BSN, RN is 1609384221. It was assigned on January 17, 2018 and is currently active in the NPPES registry.
What is the specialty of Lillian Derosa, PMHNP-BC, BSN, RN?
Lillian Derosa, PMHNP-BC, BSN, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2302862.
Where does Lillian Derosa, PMHNP-BC, BSN, RN practice?
The practice location is 238 High St, Canton, MA 02021-3654. The office can be reached at 617-755-6020 (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 1609384221 directly on the NPPES registry website.