Individual provider Active NPI

Amber Comeau, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, MA
National Provider Identifier
1336600915
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2277446 Issued in MA
Practice address
81 Highland Ave
Salem, MA 01970-2714
Phone
(978) 825-6620
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2277446 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2277446 MA Primary

Addresses

Primary practice location

81 Highland Ave
Salem, MA 01970-2714

Mailing address

26 Joseph St
Medford, MA 02155-6647
Phone (781) 738-0499

Other practice location 1

9 Hope Ave
Waltham, MA 02453-2741
Phone (781) 216-3350

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
I20190924001106 MA Practitioner - Nurse Practitioner 1951631696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

10 Cabot Rd
Suite 205
Medford, MA 02155-5173
Phone (781) 551-0999

89 Access Rd
Suite 24
Norwood, MA 02062-5233
Phone (781) 551-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2277446MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. CurrentSince Sep 2, 2019 Accepting new patients
Child and Family Psychological Services, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Aug 1, 2019 Accepting new patients
North Shore Medical Center, Inc. CurrentSince Sep 2, 2019 Accepting new patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
NSPG Billing LLC Past Accepting new patients

Locations

160 Commonwealth Ave
Ste U3
Boston, MA 02116
Phone (425) 708-8823

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

10 Cabot Rd
Ste 205
Medford, MA 02155
Phone (617) 912-7500

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

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

169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766

Interoperability endpoints

  • Direct secure messaging: comeau.amber.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.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1336600915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JOSEPH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556647",
            "telephone_number": "781-738-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-825-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Hope Ave",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024532741",
            "country_code": "US",
            "telephone_number": "781-216-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "AMBER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2277446",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2277446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.