Individual provider · NPI-1
Philip Guy Amisano, R.N. B.S.N. C.M.T.
Registered Nurse, Psych/Mental Health, Child & Adolescent · Somerville, MA
NPI number1407983604
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1407983604
- Entity type
- Individual (NPI-1)
- Name
- Mr. Philip Guy Amisano
- Credential
- R.N. B.S.N. C.M.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | 168148 | MA | Yes |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 168148 | MA | |
| 163WD0400X | Registered Nurse, Diabetes Educator | 168148 | MA | |
| 163WG0000X | Registered Nurse, General Practice | 168148 | MA | |
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | 168148 | MA | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 168148 | MA |
Practice location
5 Hall AveSomerville, MA 02144-2003
Phone 617-623-3278 · Fax 617-623-1332
Mailing address
5 Hall AveSomerville, MA 02144-2003
Phone 617-623-3278 · Fax 617-623-1332
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