MEDICARE: MR. NIKOLAS R PROTASENIA MASTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	10450	MA
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487984241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NIKOLAS R PROTASENIA MASTERS

Provider Business Mailing Address
First Line	:	99 DERBY ST
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4216
Country	:	US
Telephone Number	:	732-762-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 DERBY ST
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4216
Country	:	US
Telephone Number	:	732-762-5553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2009
Last Update Date	:	10/24/2019

Similar Medicare Providers

1225986425 — MAGENECKA DOUDELINE ST-HUBERT
Practice Location Address:

99 DERBY ST STE 200
HINGHAM, MA
02043-4216

Practice Phone: 774-274-3375
Practice Fax:

1912198722 — MS. SHARI P. FELDMAN P.T.
Practice Location Address:

99 DERBY ST
HINGHAM, MA
02043-4216

Practice Phone: 180-055-7460
Practice Fax: 781-740-2203

1902191877 — MS. CATHERINE MAY CROSBY-NORTON ANP
Practice Location Address:

99 DERBY ST
HINGHAM, MA
02043-4216

Practice Phone: 508-728-8381
Practice Fax:

1932566619 — HAYDEN HEALTH PLLC
Practice Location Address:

99 DERBY ST , SUITE 200
HINGHAM, MA
02043-4216

Practice Phone: 781-836-5003
Practice Fax: 781-836-5013

1881149680 — VANESSA M. BOYINGTON LICSW
Practice Location Address:

99 DERBY ST STE 200
HINGHAM, MA
02043-4216

Practice Phone: 781-269-1226
Practice Fax:

1780128835 — BEAUTIFUL MIND PSYCHIATRIC MENTAL HEALTH SERVICES, LLC
Practice Location Address:

99 DERBY ST , SUITE 200, OFFICE 213
HINGHAM, MA
02043-4216

Practice Phone: 781-556-1013
Practice Fax: 781-885-0397

Directions to “ MR. NIKOLAS R PROTASENIA MASTERS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.