Individual provider · Type 1 NPI

Philip Guy Amisano, R.N. B.S.N. C.M.T.

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Somerville, MA

NPI number 1407983604 Active

Practice location

5 Hall Ave
Somerville, MA 02144-2003

Fax (617) 623-1332

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X168148 (MA)
Diabetes Educator Registered Nurse 163WD0400X168148 (MA)
General Practice Registered Nurse 163WG0000X168148 (MA)
Nurse Massage Therapist (NMT) 163WM1400X168148 (MA)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X168148 (MA)
Psychiatric/Mental Health Registered Nurse 163WP0808X168148 (MA)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

14 other providers at this address

About NPI 1407983604

Philip Guy Amisano, R.N. B.S.N. C.M.T.'s National Provider Identifier is 1407983604, issued on Feb 27, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Somerville, MA. The record was last updated on Sep 11, 2025.