Organization Active NPI

Elite Care Therapeutics, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, MA
National Provider Identifier
1073295341
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELITE CARE THERAPEUTICS, LLC
Practice address
9 Pond LN Ste 3A1
Concord, MA 01742-2864
Phone
(978) 254-2200
Fax
(978) 267-3597
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Sandra Marien, NPNPI 1467005058
Title
Psychiatry
Phone
(978) 514-0747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9 Pond LN Ste 3A1
Concord, MA 01742-2864

Mailing address

9 Pond LN Ste 3A1
Concord, MA 01742-2864
Phone (978) 242-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240117002479 MA Part B Supplier - Clinic/Group Practice 2860844651 Receives reassigned benefits from 1 practitioner
Practice locations: Acton, MA; Concord, MA

National Provider Directory

National Provider Directory

Locations

525 Massachusetts Ave
#101
Acton, MA 01720
Phone (978) 514-0747

525 Massachusetts Ave
Acton, MA 01720
Phone (513) 706-6143

9 Pond Ln
Ste 3A1
Concord, MA 01742
Phone (781) 264-3595

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1073295341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POND LN STE 3A1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422864",
            "telephone_number": "978-242-2200",
            "fax_number": "978-267-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POND LN STE 3A1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422864",
            "telephone_number": "978-254-2200",
            "fax_number": "978-267-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "MARIEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PSYCHIATRY",
        "authorized_official_telephone_number": "978-514-0747",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.