Individual provider Active NPI

Jennifer Lobik, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenfield, MA
National Provider Identifier
1558772392
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
195577 Issued in MA
Practice address
1 Arch PL
Greenfield, MA 01301-2457
Phone
(413) 774-1000
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP5579 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 195577 MA Primary

Addresses

Primary practice location

1 Arch PL
Greenfield, MA 01301-2457

Mailing address

1 Arch PL
Greenfield, MA 01301-2457
Phone (413) 774-1000

Other practice location 1

12262 E Bradshaw Mtn Rd
Dewey, AZ 86327-6032
Phone (928) 772-1673

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Greenfield
CONNECT URL Greenfield

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
I20190912000325 MA Practitioner - Nurse Practitioner 6901129105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 E St
Easthampton, MA 01027-1234
Phone (413) 529-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TAP5579AZMDFamily Nurse Practitioner
195577MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Center for Youth and Families, Inc. CurrentSince May 6, 2023 Accepting new patients
Clinical & Support Options, Inc CurrentSince Apr 10, 2019 Accepting new patients

Locations

203 East St
Easthampton, MA 01027
Phone (413) 529-7777

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

380 Pleasant St
Ste 12
Malden, MA 02148
Phone (413) 529-7777

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1558772392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARCH PL",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012457",
            "telephone_number": "413-774-1000",
            "fax_number": "413-774-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARCH PL",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012457",
            "telephone_number": "413-774-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12262 E Bradshaw Mtn Rd",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "863276032",
            "country_code": "US",
            "telephone_number": "928-772-1673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBIK",
        "first_name": "JENNIFER",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP5579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "195577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenfield",
            "affiliation": "N",
            "address_1": "1 Arch Pl",
            "city": "Greenfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "013012457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenfield",
            "affiliation": "N",
            "address_1": "1 Arch Pl",
            "city": "Greenfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "013012457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.