ALTA MENTAL HEALTH (NPI# 1346876729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346876729 |
| Entity Type | Organization |
| Organization Name | ALTA MENTAL HEALTH |
| Practice Address |
14 Parsons Dr Swampscott MA 01907-2930 |
| Practice Telephone | 6179593994 |
| Mailing Telephone | 6179593994 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | MS. ALISSA FODOR (OWNER) |
| Authorized Official Telephone | 6179593994 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14 PARSONS DR |
| City | SWAMPSCOTT |
| State | MA |
| Zip Code | 01907-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077152 | North Shore Smiles LLC | Dentist | 293 Humphrey Str., Swampscott, MA 01907 | 2019-08-06 |
| 1801387832 | Jessica Lea Chezhia | Counselor | 181 Union St., Suite J, Lynn, MA 01907 | 2018-05-24 |
| 1104316678 | Kristin Lohan Physical Therapy and Wellness LLC | Clinic/Center | 213 Essex St # 1, Swampscott, MA 01907 | 2018-05-10 |
| 1194226555 | Tessa Zahr Beane | Specialist/Technologist | 75 Eastman Ave, Swampscott, MA 01907 | 2018-02-21 |
| 1083158646 | Sara-rose Sauerborn | Student in an Organized Health Care Education/Training Program | 51 Beach Ave, Swampscott, MA 01907 | 2016-12-15 |
| 1932556917 | Zoe Alexis Barbara | Developmental Therapist | 31 Minerva Street, Swampscott, MA 01907 | 2016-05-19 |
| 1447590682 | Anna Svetchnikov | Marriage & Family Therapist | 26 Longwood Dr, Swampscott, MA 01907 | 2013-02-25 |
| 1962718783 | Christopher Patrick Hayes | Physical Therapist | 173 Essex St, Swampscott, MA 01907 | 2010-08-31 |
| 1366621195 | Cosmetic and Family Dentistry of The North Shore PC | Dentist | 128 Burrill Street, Swampscott, MA 01907 | 2007-10-29 |
| 1427270438 | David John Kilroy | Chiropractor | 33 Columbia Street, Swampscott, MA 01907 | 2007-05-02 |
| Find all providers in zip 01907 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | SWAMPSCOTT |
| Zip Code | 01907 |
Please comment or provide details below to improve the information on ALTA MENTAL HEALTH.
| 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.