NPIMap

Organization Active NPI

Optimum Psychiatric Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hudson, NH
National Provider Identifier
1700475415
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OPTIMUM PSYCHIATRIC HEALTH, PLLC
Practice address
142 Lowell Rd Unit 17-151
Hudson, NH 03051-4938
Phone
(978) 233-1594
NPI assigned
Jan 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Michelle Vivoamore, NPNPI 1689173866
Title
Owner
Phone
(978) 233-1594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

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

Mailing address

142 Lowell Rd
Unit 17-151
Hudson, NH 03051-4938
Phone (978) 233-1594

Other practice location 1

12 Main St
2nd Floor
Leominster, MA 01453
Phone (978) 233-1594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210322000625 NH Part B Supplier - Clinic/Group Practice 1153738083 Receives reassigned benefits from 2 practitioners
Practice locations: Hudson, NH
O20240529002382 MA Part B Supplier - Clinic/Group Practice 1153738083 Receives reassigned benefits from 2 practitioners
Practice locations: Leominster, MA

National Provider Directory

National Provider Directory

Locations

12 N Main St
Leominster, MA 01453
Phone (978) 233-1594

12 Main St
Fl 2
Leominster, MA 01453
Phone (978) 206-8382

142 Lowell Rd
Unit 17151
Hudson, NH 03051
Phone (978) 233-1594

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1700475415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LOWELL RD",
            "address_2": "UNIT 17-151",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514938",
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Main St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "01453",
            "country_code": "US",
            "telephone_number": "978-233-1594",
            "fax_number": "949-561-4522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM PSYCHIATRIC HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "VIVOAMORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-233-1594",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.