Individual provider Active NPI

Samantha Sacerdote, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Amherst, MA
National Provider Identifier
1720840606
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2353157 Issued in MA
Practice address
6 University Dr
Amherst, MA 01002-2360
Phone
(413) 549-9232
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 RN2353157 MA Primary

Addresses

Primary practice location

6 University Dr
Amherst, MA 01002-2360

Mailing address

14 Island Rd
Holland, MA 01521-2530
Phone (860) 601-7815

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
I20240314001714 MA Practitioner - Nurse Practitioner 6901242726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hometown Mental Health Services, PLLCGroup PAC ID 6002255072, 7 clinicians
Amherst Psychiatric Associates, LLCGroup PAC ID 6002861697, 4 clinicians

Practice addresses (Care Compare)

157 Paige Hill Rd
Brimfield, MA 01010-9779
Phone (413) 343-4175

6 University Dr
Suite 203
Amherst, MA 01002-2265
Phone (413) 549-9232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Mental Health Services, PLLC Psychiatric/Mental Health CurrentSince Aug 8, 2024 Accepting new patients

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1720840606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ISLAND RD",
            "city": "HOLLAND",
            "state": "MA",
            "postal_code": "015212530",
            "telephone_number": "860-601-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 UNIVERSITY DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022360",
            "telephone_number": "413-549-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACERDOTE",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2353157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.