Individual provider Active NPI

Nathan Wayne Lingafelter

  • Psychiatry Physician
  • Salem, MA
National Provider Identifier
1104385566
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1014803 Issued in MA
Practice address
55 Highland Ave Ste 201
Salem, MA 01970-2100
Phone
(978) 825-6620
NPI assigned
Mar 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 1014803 MA Primary

Addresses

Primary practice location

55 Highland Ave Ste 201
Salem, MA 01970-2100

Mailing address

55 Highland Ave Ste 201
Salem, MA 01970-2100
Phone (978) 825-6620

Other practice location 1

82 Marlborough St
Boston, MA 02116-2020
Phone (857) 371-8291

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925002335 MA Practitioner - Psychiatry 7810381753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Shore Medical Center, Inc.Group PAC ID 3274427570, 44 clinicians

Practice addresses (Care Compare)

55 Highland Ave
Suite 201
Salem, MA 01970-2100
Phone (978) 825-6620

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pathology Partners, P.C. Single Specialty Current Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
North Shore Medical Center, Inc. Single Specialty CurrentSince Nov 6, 2023 Accepting new patients
Lingafelter Psychiatric Services PLLC Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Nov 6, 2023 Accepting new patients
NSPG Billing LLC Single Specialty Past Accepting new patients

Locations

82 Marlborough St
Boston, MA 02116
Phone (617) 437-1599

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601

Interoperability endpoints

  • Direct secure messaging: lingafelter.nathan.nsmc@direct.partners.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1104385566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-825-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-825-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Marlborough St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162020",
            "country_code": "US",
            "telephone_number": "857-371-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINGAFELTER",
        "first_name": "NATHAN",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "1014803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.