Form Psychiatry PLLC
NPI 1316817117 · Psychiatric/Mental Health Nurse Practitioner · Boston, MA
Form Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Boston, MA (NPI 1316817117).
Provider details
- NPI number
- 1316817117
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lisa Rosano, Psychiatric Nurse Practitioner(305) 798-8889
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-06
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Frequently asked questions
- What is Form Psychiatry PLLC's NPI number?
- Form Psychiatry PLLC's National Provider Identifier (NPI) is 1316817117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form Psychiatry PLLC?
- Form Psychiatry PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Form Psychiatry PLLC located?
- Form Psychiatry PLLC's practice location on file with NPPES is 45 Stuart St Apt 1405, Boston, MA 02116-4754.
- What is Form Psychiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Form Psychiatry PLLC is (305) 798-8889.
- Who is the authorized official for Form Psychiatry PLLC?
- The authorized official listed on Form Psychiatry PLLC's NPPES record is Lisa Rosano, Psychiatric Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form Psychiatry PLLC's NPI active?
- Yes — Form Psychiatry PLLC's NPI (1316817117) is active in the NPPES registry as of the last update on 2025-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.