Individual provider Active NPI

Alycen Gail Lafianza, MSN, CNP, PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Marshfield, MA
National Provider Identifier
1306459862
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN2287466 Issued in MA
Practice address
769 Plain St Unit 1
Marshfield, MA 02050-2118
Phone
(800) 852-2844
Fax
(617) 786-9894
NPI assigned
Aug 25, 2020
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2287466 MA Primary

Addresses

Primary practice location

769 Plain St Unit 1
Marshfield, MA 02050-2118

Mailing address

1501 Washington St
Braintree, MA 02184-7599
Phone (781) 328-3011

Other names 1

  • Alycen Gail Palmer Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124000620 MA Practitioner - Nurse Practitioner 5395135834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Shore Mental Health Center IncGroup PAC ID 4082508429, 36 clinicians

Practice addresses (Care Compare)

769 Plain St
Suite 1
Marshfield, MA 02050-2118
Phone (617) 847-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. CurrentSince Oct 21, 2021 Accepting new patients

Locations

1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709

769 Plain St
#1
Marshfield, MA 02050

769 Plain St
Unit 1
Marshfield, MA 02050
Phone (781) 834-7433

500 Victory Rd
Quincy, MA 02171
Phone (617) 774-1040

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1306459862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WASHINGTON ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847599",
            "telephone_number": "781-328-3011",
            "fax_number": "781-328-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 PLAIN ST UNIT 1",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502118",
            "telephone_number": "800-852-2844",
            "fax_number": "617-786-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFIANZA",
        "first_name": "ALYCEN",
        "middle_name": "GAIL",
        "credential": "MSN, CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2287466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYCEN",
            "last_name": "PALMER",
            "middle_name": "GAIL",
            "credential": "MSN, CNP, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshfield, MA

Sources for this page

Verify at the official NPI Registry.