Individual provider Active NPI

Irene Muchai, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrence, MA
National Provider Identifier
1003491119
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
280997 Issued in MA
Practice address
12 Methuen St
Lawrence, MA 01840-1772
Phone
(978) 620-1250
NPI assigned
Mar 10, 2021
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 280997 MA Primary
Registered Nurse 163W00000X 280997 MA

Addresses

Primary practice location

12 Methuen St
Lawrence, MA 01840-1772

Mailing address

107 Westford St
Dunstable, MA 01827-2405
Phone (978) 551-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230320000680 MA Practitioner - Nurse Practitioner 4082088836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Courthouse LN
Suite 3
Chelmsford, MA 01824-1723
Phone (978) 275-9444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
280997MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Services LLC Psychiatric/Mental Health Current Accepting new patients
Comprehensive Health Services, LLC CurrentSince Mar 1, 2023 Accepting new patients
Restore Behavioral Health Clinic LLC CurrentSince Feb 28, 2025 Accepting new patients

Locations

121 Brick Kiln Rd
Unit 210
Chelmsford, MA 01824
Phone (978) 225-8340

2 Cthouse Ln
Ste 3
Chelmsford, MA 01824
Phone (978) 275-9444

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1003491119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WESTFORD ST",
            "city": "DUNSTABLE",
            "state": "MA",
            "postal_code": "018272405",
            "telephone_number": "978-551-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 METHUEN ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401772",
            "telephone_number": "978-620-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHAI",
        "first_name": "IRENE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "280997",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "280997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.