Individual provider Active NPI

Amanda Rondeau, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dracut, MA
National Provider Identifier
1376129171
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2258728 Issued in MA
Practice address
1 Carle Dr
Dracut, MA 01826-5263
Phone
(781) 204-8282
Fax
(984) 237-6218
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 Nurse Practitioner 363LP0808X RN2258728 MA Primary

Addresses

Primary practice location

1 Carle Dr
Dracut, MA 01826-5263

Mailing address

54 Broadway Rd Unit 281
Dracut, MA 01826-4084
Phone (781) 204-8282

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
I20220521000044 MA Practitioner - Nurse Practitioner 1850778374

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Cayuga Rd
Tewksbury, MA 01876-1215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2258728MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D&JS Psychiatry & Services, LLC Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Open Oaks Mental Health and Wellness, PLLC Psychiatric/Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

54 Broadway Rd
Unit 281
Dracut, MA 01826
Phone (781) 204-8282

55 Concord St
Ste 204
North Reading, MA 01864
Phone (833) 394-7998

34 Salem St
Ste 201
Reading, MA 01867
Phone (435) 764-0756

Organizations & group practices 2

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1376129171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BROADWAY RD UNIT 281",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264084",
            "telephone_number": "781-204-8282",
            "fax_number": "984-237-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARLE DR",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018265263",
            "telephone_number": "781-204-8282",
            "fax_number": "984-237-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEAU",
        "first_name": "AMANDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2258728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

Verify at the official NPI Registry.