Active NPIIndividual provider

Elaine S Conroy

Nurse Practitioner, Psych/Mental Health in Jamaica Plain, Massachusetts

NPI Number1649514159
Practice location
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Fax
—
Last updated
June 15, 2023

Elaine Sarah Conroy is a Nurse Practitioner, Psych/Mental Health based in Jamaica Plain, MA. Elaine Sarah Conroy practices in Jamaica Plain, MA. The NPI Number for Elaine Sarah Conroy is 1649514159 and holds a License No. 401961 (NY). The current practice location address for Elaine Sarah Conroy is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 and can be reached out via phone at 718-683-0474.

Provider Profile Details

NPI Number
1649514159
Provider Name
Elaine Sarah Conroy
Provider Entity Type
Individual
Gender
Female
Address
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Phone Number
718-683-0474
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2012
Last Update Date
June 15, 2023
Certification Date
June 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Zip
02130-4817
Phone Number
718-683-0474
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
39 Pond St Apt 3
Jamaica Plain, MA 02130-2502
City
Jamaica Plain
State
MA
Zip
02130-2502
Phone Number
718-683-0474

License Information

License Number
401961
License State
NY
Taxonomy
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 Elaine S Conroy?

The NPI number of Elaine S Conroy is 1649514159. It was assigned on November 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Elaine S Conroy?

Elaine S Conroy is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 401961.

Where does Elaine S Conroy practice?

The practice location is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817. The office can be reached at 718-683-0474 (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 1649514159 directly on the NPPES registry website.

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