Individual provider Active NPI

Lhassane Oumalek, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Quincy, MA
National Provider Identifier
1659098069
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2284761 Issued in MA
Practice address
101 Adams St Ste 26
Quincy, MA 02169-2022
Phone
(617) 545-0726
NPI assigned
Oct 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 RN2284761 MA Primary

Addresses

Primary practice location

101 Adams St Ste 26
Quincy, MA 02169-2022

Mailing address

349 W Pleasant St
Rockland, MA 02370-1128
Phone (781) 888-0024

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
I20221220002396 MA Practitioner - Nurse Practitioner 4385013077 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
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

101 Accord Park Dr
Suite 105
Norwell, MA 02061-1666
Phone (781) 551-0999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2284761MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Health and Wellness PLLC Psychiatric/Mental Health Current Accepting new patients
Child and Family Psychological Services, PLLC CurrentSince Apr 28, 2024 Accepting new patients

Locations

101 Accord Park Dr
Ste 105
Norwell, MA 02061

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lhassaneoumalek@139414.advancedmd-direct.com

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": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1659098069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 W PLEASANT ST",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701128",
            "telephone_number": "781-888-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ADAMS ST STE 26",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692022",
            "telephone_number": "617-545-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUMALEK",
        "first_name": "LHASSANE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2284761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.