Hanover Psychiatry Group LLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

Legal business name

HANOVER PSYCHIATRY GROUP LLC

Practice address

273 Hanover St Ste 7
Hanover, MA 02339-2234

Phone

(617) 538-8232

Fax

(857) 344-0023

NPI assigned

Jul 15, 2022

Organization subpart

No

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

Authorized official

Name

Leslie A Delisle, APRN, PMHCNS-BCNPI 1831427632

Title

Owner

Phone

(781) 924-6080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Leslie Ann Delisle, APRN, PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Brockton, MA
  • NPI 1831427632

  Psychiatric/Mental Health, Adult

  Medicare reassignment Care Compare group NPD Authorized official
• Monique Mitchell, PMHCNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Brockton, MA
  • NPI 1316497191
  Medicare reassignment Care Compare group NPD
• Meghan M Raby

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, MA
  • NPI 1750153011
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1174257919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 HANOVER ST STE 7",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392234",
            "telephone_number": "617-538-8232",
            "fax_number": "857-344-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 HANOVER ST STE 7",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392234",
            "telephone_number": "617-538-8232",
            "fax_number": "857-344-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER PSYCHIATRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "DELISLE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-924-6080",
        "authorized_official_credential": "APRN, PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanover Dental PC
• Hanover Endodontics LLC
• Hanover Family Health & Urgent Care PC (Surender Singh MD)
• Hanover Orthodontics, P.C.
• Hanover Pediatric Dentistry, PLLC
• Harbor Light Therapy LLC
• Harmony Wellness Center Inc.
• Kim Kelly Harriman, MSW, LICSW
• Amy Lynn Hartigan
• Anne Elizabeth Hayes, RD, LDN

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Hanover, MA
• Providers in Hanover, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.