ALTUM PSYCHIATRIC SERVICES, PLLC


Address: 1 Bridge St Ste 210, Plymouth, NH 03264-1623
Phone: 3522263803

ALTUM PSYCHIATRIC SERVICES, PLLC (NPI# 1144732074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144732074
Entity Type Organization
Organization Name ALTUM PSYCHIATRIC SERVICES, PLLC
Other Organization Name ALTUM PSYCH
Practice Address 1 Bridge St Ste 210
Plymouth
NH 03264-1623
Practice Telephone 3522263803
Mailing Telephone 3522263803
Enumeration Date 2017-11-01
Last Update Date 2017-11-25
Authorized Official Name CYMANDE BAXTER-ROGERS (CEO)
Authorized Official Telephone 3522263803
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
07475223 NH Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner 07475223 NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 306591000 05

Other Provider/Organization Names

Other Name Type Code
Altum Psych Other Name - Individual/Organization

Office Location

Street Address 1 BRIDGE ST STE 210
City PLYMOUTH
State NH
Zip Code 03264-1623

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538722103 Maxwell E Johnson Student in an Organized Health Care Education/Training Program 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 2019-04-18
1679059968 Life Improved, LLC Psychologist 300 Main Street, Suite 200, Plymouth, NH 03264 2018-07-19
1033638838 Evan Hansen Student in an Organized Health Care Education/Training Program 5 First Street, Apartment B, Plymouth, NH 03264 2017-09-12
1396263448 Lauren Burke Specialist/Technologist 70 Highland Street, Apartment E, Plymouth, NH 03264 2017-09-08
1174053490 Ryan J. Schreiner Specialist/Technologist 19 High Street, Plymouth, NH 03264 2017-06-19
1972044550 Heidi Schlenz Counselor 536 Tenney Mountain Highway, Plymouth, NH 03264 2017-03-15
1568900892 Molly Quigley Specialist/Technologist 457 North Road, North Sutton, NH 03264 2017-02-07
1982082004 Erin Marie Klasen-orr Social Worker 258 Highland Street, Plymouth, NH 03264 2015-05-08
1578876967 Bridget Powers Speech-Language Pathologist 39 Clay Brook Dr., Plymouth, NH 03264 2010-07-14
1710191390 Plymouth School District Local Education Agency (LEA) 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 2007-05-10
Find all providers in zip 03264

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710417852 Lois Joyce Roberson Nurse Practitioner 1032 Us Highway 64 E, Plymouth, NC 27962-9215 2017-06-12
1407221013 Teresa June Taylor Nurse Practitioner 320 Court St., Plymouth, MA 02360 2015-12-08
1730558313 Kendra Broussard Nurse Practitioner 101 Court St Ste 8, Plymouth, MA 02360-8718 2015-09-24
1285043828 Georgia T Foudy Nurse Practitioner 258 Plympton Rd, Plymouth, MA 02360-4644 2014-08-07
1629329867 Erin Duff Nurse Practitioner 1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 2012-09-27
1760731798 Daniel D. Tanner Nurse Practitioner 105 Water St, Plymouth, IN 46563-2148 2012-09-06
1144508904 Kyle M Farr Nurse Practitioner 640 Starkweather St Ste C, Plymouth, MI 48170-1371 2011-07-28
1649372608 Laura Ann Dansel Nurse Practitioner 595 Forest Ave, Suite 7a, Plymouth, MI 48170-1775 2006-09-01
1659336303 Catherine T. Milne Nurse Practitioner 204 Keegan Rd, Plymouth, CT 06782-2608 2006-04-18
1881686996 Janet Marie Lincoln Nurse Practitioner 8 Pilgrim Hill Rd, Minuteclinic/target Primary Practice 8 Pilgrim Hill Rd, Plymouth, MA 02360-6123 2005-08-16
Find all providers in PLYMOUTH

Competitor

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City PLYMOUTH
Zip Code 03264

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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