Healthcare Provider Details

I. General information

NPI: 1972364651
Provider Name (Legal Business Name): MICHELA CERASANI PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 WASHINGTON ST UNIT 3
PLAINVILLE MA
02762-5111
US

IV. Provider business mailing address

44 WASHINGTON ST UNIT 3
PLAINVILLE MA
02762-5111
US

V. Phone/Fax

Practice location:
  • Phone: 508-283-1800
  • Fax:
Mailing address:
  • Phone: 508-283-1800
  • Fax: 888-494-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2346572
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2346572
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: