Individual provider Active NPI

M Lorene Sipes, PH.D.

  • Psychologist
  • Nashua, NH
National Provider Identifier
1063558278
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1122 Issued in NH
Practice address
39 Simon St Ste 3a
Nashua, NH 03060-3046
Phone
(038) 884-3476
Fax
(035) 779-1576
NPI assigned
Jan 29, 2007
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1122 NH Primary

Addresses

Primary practice location

39 Simon St Ste 3a
Nashua, NH 03060-3046

Mailing address

39 Simon St Ste 3a
Nashua, NH 03060-3046
Phone (038) 884-3476

Other identifiers 1

IdentifierTypeStateIssuer
3084274MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ghannigan@merrimackvalleycounseling.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000477 NH Practitioner - Clinical Psychologist 9335244417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Counseling AssociationGroup PAC ID 1557325172, 11 clinicians

Practice addresses (Care Compare)

39 Simon St
Suite 2a
Nashua, NH 03060-3046
Phone (603) 888-4347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1122NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Counseling Association Psychologist CurrentSince Apr 17, 2018 Accepting new patients

Locations

39 Simon St
Ste 2
Nashua, NH 03060

39 Simon St
Ste 2A
Nashua, NH 03060
Phone (603) 888-4347

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1063558278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 3A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "038-884-3476",
            "fax_number": "035-779-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 3A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "038-884-3476",
            "fax_number": "035-779-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPES",
        "first_name": "M LORENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084274",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghannigan@merrimackvalleycounseling.org",
            "affiliation": "N",
            "endpointDescription": "Office Manager email",
            "address_1": "39 Simon St Ste 3A",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030603046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.