| Alliance Lifetime Mental Health, Inc | |
|
790 Turnpike St Ste 302 North Andover MA 01845-6138 | |
| (978) 655-7782 | |
| (978) 655-7731 |
| Full Name | Alliance Lifetime Mental Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 790 Turnpike St Ste 302, North Andover, Massachusetts |
| Authorized Official Name and Position | April Farley (BILLING/CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9786557782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Lifetime Mental Health, Inc 790 Turnpike St Suite 302 N. Andover MA 01845-6138 Ph: (978) 655-7782 | Alliance Lifetime Mental Health, Inc 790 Turnpike St Ste 302 North Andover MA 01845-6138 Ph: (978) 655-7782 |
| NPI Number | 1568196830 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 2365826062 |
|---|---|
| Medicare Enrollment ID | O20220830001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568196830 | NPI | - | NPPES |
| 110076593B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Oliver C Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023437845 PECOS PAC ID: 8022234525 Enrollment ID: I20180613000881 |
| Provider Name | Kimberly Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962058362 PECOS PAC ID: 5496188815 Enrollment ID: I20191125002746 |
| Provider Name | Kristina T Vassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538786645 PECOS PAC ID: 8325444797 Enrollment ID: I20210909003354 |
| Provider Name | Dawna Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649548124 PECOS PAC ID: 4486004686 Enrollment ID: I20240101000297 |
| Provider Name | Allyson I Skopelites |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447849757 PECOS PAC ID: 2062862121 Enrollment ID: I20240102002294 |
Ascent Arts & Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Turnpike St # 1039, North Andover, MA 01845 Phone: 978-967-0027 | |
Merrimack Valley Neurology Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 Sutton St Ste 140, North Andover, MA 01845 Phone: 978-620-8444 | |
Integrated Behavioral Care New England Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Turnpike St Ste 300, North Andover, MA 01845 Phone: 978-296-5595 Fax: 978-296-5594 | |
Denise C Henneberry Psyd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Andover St, Suite 301, North Andover, MA 01845 Phone: 617-388-7182 | |
Victorias Estate Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 869 Turnpike St Unit 212, North Andover, MA 01845 Phone: 978-495-1420 | |
Cornerstone Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Main St, North Andover, MA 01845 Phone: 978-985-4083 Fax: 978-372-7563 | |
Andover Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Turnpike St, Unit 130/132, North Andover, MA 01845 Phone: 978-417-1351 |