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

Mrs. Mispa Shurri Sango

Individual provider Psychiatry Physician · NPI 1811613615

Mrs. Mispa Shurri Sango is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2022, 4 years ago. Practices with Northeast Behavioral Health LLC, a 19-clinician group. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022

Practice location Address checks out

435 Shrewsbury St
Worcester, MA 01604-1689
Phone: (508) 753-5554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence RN2335732 (MA)

Record details

NPI number1811613615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2022
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address32 Deerfield Rd, Shrewsbury, MA 01545-1530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Behavioral Health Llc — 19 clinicians
Accepts Medicare assignment Not indicated

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