Individual provider Active NPI

Joan Milroy, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1568620979
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
176736 Issued in MA
Practice address
150A Andover St Ste 11a
Danvers, MA 01923-5316
Phone
(978) 206-8200
Fax
(351) 212-3276
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 176736 MA Primary

Addresses

Primary practice location

150A Andover St Ste 11a
Danvers, MA 01923-5316

Mailing address

27 Edge St
Ipswich, MA 01938-1109
Phone (978) 314-9806

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
I20050909000252 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 7012949183 Reassigns benefits to 1 organization
Practice locations: Danvers, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
176736MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cagway Health and Wellness LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Northeast Behavioral Health Corporation CurrentSince May 4, 2009 Accepting new patients
Bridgewell, Inc PastSince Jul 1, 2007 Accepting new patients
Sarah McKenzie LMHC LLC PastSince Apr 21, 2024 Accepting new patients

Locations

150A Andover St
Ste 11A
Danvers, MA 01923
Phone (802) 272-9753

199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 867-7756

30 General St
Lawrence, MA 01840
Phone (978) 683-3128

12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128

Organizations & group practices 4

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1568620979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 EDGE ST",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019381109",
            "telephone_number": "978-314-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150A ANDOVER ST STE 11A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019235316",
            "telephone_number": "978-206-8200",
            "fax_number": "351-212-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILROY",
        "first_name": "JOAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "176736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.