Individual provider Active NPI

Laura Ashley Somerville

  • Psychiatric/Mental Health Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1598460636
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2350374 Issued in MA
Practice address
40 Bobala Rd
Holyoke, MA 01040-9632
Phone
(413) 536-5473
NPI assigned
Mar 30, 2023
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13329 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2350374 MA Primary

Addresses

Primary practice location

40 Bobala Rd
Holyoke, MA 01040-9632

Mailing address

40 Bobala Rd
Holyoke, MA 01040-9632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230717001321 MA Practitioner - Nurse Practitioner 1355701806 Reassigns benefits to 2 organizations
I20240923003177 CT Practitioner - Nurse Practitioner 1355701806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Network IncGroup PAC ID 3072596360, 146 clinicians

Practice addresses (Care Compare)

77 Mill St
Westfield, MA 01085-4598
Phone (413) 568-1421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13329CTMDClinical Social Worker
RN2350374MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network Inc CurrentSince Jun 5, 2023 Accepting new patients
Advanced Telepsych PLLC CurrentSince Sep 1, 2024 Accepting new patients
Behavioral Health Network, Inc CurrentSince Jun 5, 2023 Accepting new patients
Northeast Neuropsychology, LLC PastSince Sep 1, 2008 Accepting new patients

Locations

609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

171 Dwight Rd
Longmeadow, MA 01106
Phone (413) 682-4205

77 Mill St
Westfield, MA 01085
Phone (413) 568-6141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1598460636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BOBALA RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BOBALA RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409632",
            "telephone_number": "413-536-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVILLE",
        "first_name": "LAURA",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13329",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2350374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.