Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Form Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1316817117

Form Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Boston, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

186 Lincoln St Ste 112
Boston, MA 02111-2403
Phone: (305) 798-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1316817117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rosano — Psychiatric Nurse Practitioner · (305) 798-8889
NPI enumeratedNovember 6, 2025
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address186 Lincoln St Ste 112, Boston, MA 02111-2403

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