Lien Kim Pham

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2301960 Issued in MA

Practice address

1233 Main St
Holyoke, MA 01040-5381

Phone

(413) 701-2600

NPI assigned

May 15, 2023

Last updated

May 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Holyoke Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Holyoke, MA
  • NPI 1083776140
  Medicare reassignment NPD
• T Massachusetts, LLC

  dba Hospital for Behavioral Medicine

  • Psychiatric Hospital
  • Worcester, MA
  • NPI 1346728748
  Medicare reassignment NPD
• Western Mass Physician Associates Inc

  dba Holyoke Medical Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Chicopee, MA
  • NPI 1922009547
  Medicare reassignment NPD
• Holyoke Capital JV, LLC

  dba MiraVista Behavioral Health Center

  • Psychiatric Hospital
  • Holyoke, MA
  • NPI 1649856618
  Medicare reassignment
• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  NPD
• Western Mass Physician Associates Inc

  dba Holyoke Medical Group Walk-In Care

  • Internal Medicine Physician
  • Westfield, MA
  • NPI 1366087363
  NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1265122071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GATES AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-701-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LIEN",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2301960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Michelle Petit
• Christine M. Petraglia, R.PH.
• Patricia P. Petrosky, MD
• Marian Peynado
• Nicole Carretta Phalen, RN
• Rowan Phelps
• Jon Adrian Phillips, MSW
• Phoenix Moon Counseling PLLC
• Adriana Piantedosi
• Tanya Picking

• Psychiatric/Mental Health Nurse Practitioner in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.