Amanda Theresa Lanceleve, PMHNP-BC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

RN2261672 Issued in MA

Practice address

116 Summer St
Haverhill, MA 01830-6032

Phone

(781) 630-2540

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Hri Clinics, Inc.

  • Community/Behavioral Health Agency
  • Woburn, MA
  • NPI 1598707002
  Medicare reassignment Care Compare group NPD
• WP Acquisition Sub LLC

  • Psychiatry Physician
  • Haverhill, MA
  • NPI 1417420811
  Medicare reassignment NPD
• Hri Clinics Inc

  • Community/Behavioral Health Agency
  • Norwell, MA
  • NPI 1922123199
  NPD
• WP Acquisition Sub LLC

  • Psychiatric Hospital
  • Haverhill, MA
  • NPI 1023580479
  NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1053037424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306032",
            "telephone_number": "781-630-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306032",
            "telephone_number": "781-630-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Summer St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018305814",
            "country_code": "US",
            "telephone_number": "978-556-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCELEVE",
        "first_name": "AMANDA",
        "middle_name": "THERESA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2261672",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2261672",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "RN2261672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.lanceleve@uhsinc.com",
            "affiliation": "N",
            "endpointDescription": "Arbour counseling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 Summer St",
            "city": "Haverhill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018306032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.lanceleve@uhsinc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "116 Summer St",
            "city": "Haverhill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018306032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phyllis A Lamb, M.S
• Christopher Lambert, FNP
• Jessica Lambert
• Michael James Lambert, LMHC
• Shelby Ann Lambert
• Leewood Lawrence Lane III
• Rebecca Lang, MSW
• Linda Andrewstein Lankowski, LICSW
• Adeline W Lantum, PHARMD
• Elida Lizeth Lara, P.A.

• Addiction Medicine (Psychiatry & Neurology) Physician in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.