# MENDED ROOT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053095117
- **Authorized official:** MICHELLE CATALDO APRN (PRACTIONER)
- **Authorized official phone:** (617) 212-0938

## Contact information

- **Practice address:** 6 LIBERTY SQUARE PMB 6181, BOSTON, MA 02109-5800
- **Practice address phone:** (802) 500-1114
- **Mailing address:** 280 RIVER RD, WINTHROP, MA 02152-1750
- **Mailing address phone:** (617) 212-0938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2023
- **Last updated:** 06/09/2023