Michelle Vivoamore, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

083943-23 Issued in NH

Practice address

142 Lowell Rd Unit 17-151
Hudson, NH 03051-4938

Phone

(978) 233-1594

Fax

(877) 247-8587

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA, NH2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optimum Psychiatric Health, PLLCGroup PAC ID 1153738083, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJCCDA

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.

• Optimum Psychiatric Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hudson, NH
  • NPI 1700475415

  MA

  Medicare reassignment Care Compare group NPD Authorized official
• Bridgewell, Inc

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1033262860
  Medicare reassignment NPD
• Bridgewell Counseling

  • Mental Health Counselor
  • Lowell, MA
  • NPI 1922316058
  NPD (past)
• Community Neuroscience Services, LLC

  • Neurology Physician
  • Westborough, MA
  • NPI 1578940219
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1689173866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAIN ST FL 2",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535517",
            "telephone_number": "978-233-1594",
            "fax_number": "877-247-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LOWELL RD UNIT 17-151",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514938",
            "telephone_number": "978-233-1594",
            "fax_number": "877-247-8587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014535517",
            "country_code": "US",
            "telephone_number": "978-233-1594",
            "fax_number": "877-247-8587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVOAMORE",
        "first_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "083943-23",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2313491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLOZAPINE REMS PROGRAM",
            "identifier": "HCP12151114807",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127474",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110153729A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Rose Turcotte
• Eliana Valdez, DMD
• Michele Lynne Vando, MS CCC-SLP
• Victor V Veloso, M.D.
• Michael P. Viggiano, PHARMACIST
• Wal-Mart Stores East LP
• Walgreen Co
• Joseph Mbuthi Wangu
• Ross Robert Watson, MS, OTR/L
• Tara Lee Watts, MS CCC SLP

• Psychiatric/Mental Health Nurse Practitioner in Hudson, NH
• Providers in Hudson, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.