Amanda Sadat, PMHNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

07484923 Issued in NH

Practice address

2 Burlington Woods Dr. Suite 100 #1010
Suite 1a
Burlington, MA 01803-4503

Phone

(978) 616-7577

Fax

(978) 616-7599

NPI assigned

Oct 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• The Healing Space LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NH
  • NPI 1336912286
  NPD Authorized official

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1053611756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BURLINGTON WOODS DR. SUITE 100 #1010",
            "address_2": "SUITE 1A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034503",
            "telephone_number": "978-616-7577",
            "fax_number": "978-616-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BURLINGTON WOODS DR. SUITE 100 #1010",
            "address_2": "SUITE 1A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034503",
            "telephone_number": "978-616-7577",
            "fax_number": "978-616-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 South Main Street Unit 200",
            "address_2": "#1018",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "978-616-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADAT",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2292007",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60573927",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "07484923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Ryan, FNP-BC
• Mary Ellen Ryan, NP
• Afaf Saab Khaddaje, MS,RD
• Toufic Tony Saad, MD
• Ana Patricia Saade Lemus, MD
• Mazin Sadik, DPM
• Hossein Sadrzadeh, M.D.
• Alaa Saeed, MD
• Catherine Rose Saes, LMHC
• Laura T Safar, M.D.

• Nurse Practitioner in Burlington, MA
• Providers in Burlington, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.