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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 306591000 | 05 |
Other Name | Type Code |
---|---|
Altum Psych | Other Name - Individual/Organization |
Street Address |
1 BRIDGE ST STE 210 |
City | PLYMOUTH |
State | NH |
Zip Code | 03264-1623 |
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 Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
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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.