Active NPI
Martin Street Psychiatry PLLC
- Nurse Practitioner
- Holyoke, MA
National Provider Identifier
1528857604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MARTIN STREET PSYCHIATRY PLLC
- Practice address
- 1 Martin St
Holyoke, MA 01040-2930 - Phone
- (413) 454-7974
- NPI assigned
- May 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ella Sussman
- Title
- Ceo & President
- Phone
- (413) 454-7974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1 Martin St
Holyoke, MA 01040-2930
Mailing address
90 Lincoln Park
Longmeadow, MA 01106-2661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Martin St
Holyoke, MA 01040
Phone (413) 454-7974
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Springfield, MA
- NPI 1235559428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1528857604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 LINCOLN PARK",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MARTIN ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402930",
"telephone_number": "413-454-7974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN STREET PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "SUSSMAN",
"authorized_official_first_name": "ELLA",
"authorized_official_title_or_position": "CEO & PRESIDENT",
"authorized_official_telephone_number": "413-454-7974"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.