Ry K Billadeau, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Manchester, NH
NPI 1073145199 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1073145199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 070626-23 (NH)
- Practice address
- 835 Hanover St Ste 305
Manchester, NH 03104-5401 - Phone
- (603) 784-9012
- Fax
- (603) 784-9012
- NPI assigned
- Feb 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Optimal Behavioral Health Services LLC
Practice addresses (Care Compare)
35 Godfrey LN
Fremont, NH 03044-3055
Phone (603) 784-9012
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210210001706 | NH | Practitioner - Nurse Practitioner | 6406261114 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070626-23 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Behavioral Health Services LLC | Current |
Accepting new patients | |
| Warren Street Family Counseling Assoc Inc | Current |
Accepting new patients |
Locations
835 Hanover St
Ste 305
Manchester, NH 03104
Phone (603) 770-6783
170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 070626-23 | NH | Yes |
Addresses
Primary practice location
835 Hanover St Ste 305
Manchester, NH 03104-5401
Mailing address
835 Hanover St Ste 305
Manchester, NH 03104-5401
Phone (603) 784-9012
Other practice location 1
35 Godfrey Ln
Fremont, NH 03044-3055
Phone (978) 419-1403
Other providers in Manchester, NH
- Nicholas Bickford
- Summer Bickford
- Genesio W. Biesek
- Bijoy L Kundu MD PA
- Mark Biletch
- Billing Advocates, LLC
- Deborah Billings
- Angelica Bilodeau
- Brian Andrew Binczewski
- Tonya M Binder
All providers in Manchester, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.