Individual provider Active NPI

Louisa Eileen Martin, PMHCNS-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1669439337
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
238093 Issued in MA
Practice address
210 Bear Hill Rd
Suite 202
Waltham, MA 02451-1023
Phone
(781) 966-0070
Fax
(781) 915-0755
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 238093 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 238093 MA Primary

Addresses

Primary practice location

210 Bear Hill Rd
Suite 202
Waltham, MA 02451-1023

Mailing address

210 Bear Hill Rd
Suite 202
Waltham, MA 02451-1023
Phone (781) 966-0070

Other names 1

  • Louisa Eileen Schlee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 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
I20050223000733 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 8921051541 Reassigns benefits to 2 organizations
I20210326002140 MA Practitioner - Nurse Practitioner 8921051541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33 Sunset Rd
Carlisle, MA 01741-1305
Phone (978) 245-6050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Mental Health Psychiatric/Mental Health CurrentSince May 10, 2022 Accepting new patients
Comprehensive Health Services, LLC CurrentSince Feb 19, 2021 Accepting new patients
Comprehensive Health Services LLC Psychiatric/Mental Health CurrentSince Feb 19, 2021 Accepting new patients
Bridgewell, Inc CurrentSince Sep 10, 2012 Accepting new patients
Bridgewell Counseling Past Accepting new patients
Boston University Psychiatry Associates, Inc. PastSince Aug 8, 1996 Accepting new patients

Locations

2 Cthouse Ln
Ste 3
Chelmsford, MA 01824
Phone (978) 275-9444

35 Market St
Ste 2
Lowell, MA 01852
Phone (978) 459-0389

35 Market St
Lowell, MA 01852
Phone (978) 459-0389

Organizations & group practices 7

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1669439337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BEAR HILL RD",
            "address_2": "SUITE 202",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511023",
            "telephone_number": "781-966-0070",
            "fax_number": "781-915-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEAR HILL RD",
            "address_2": "SUITE 202",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511023",
            "telephone_number": "781-966-0070",
            "fax_number": "781-915-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LOUISA",
        "middle_name": "EILEEN",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MA",
            "license": "238093",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "238093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISA",
            "last_name": "SCHLEE",
            "middle_name": "EILEEN",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.