Individual provider Active NPI

Martha Sue Root, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1730339045
Registry record updated Dec 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
236281 Issued in MA
Practice address
22 Old Canal Dr
Lowell, MA 01851-2730
Phone
(978) 453-6800
NPI assigned
Sep 23, 2008
Last updated
Dec 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2017

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 236281 MA Primary

Addresses

Primary practice location

22 Old Canal Dr
Lowell, MA 01851-2730

Mailing address

84 Mink Run Rd
Wilmington, MA 01887-4547
Phone (978) 658-0380

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
I20130211000188 MA Practitioner - Nurse Practitioner 2567616063 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Abelard Psychotherapy IncGroup PAC ID 4385059104, 16 clinicians
Wilmington Family Counseling Service IncGroup PAC ID 8527056431, 11 clinicians

Practice addresses (Care Compare)

1032 Turnpike St
Suite 301
Canton, MA 02021-2864
Phone (781) 344-0057

5 Middlesex Ave
Unit 11
Wilmington, MA 01887-2745
Phone (978) 658-9889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
236281MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services, Inc. CurrentSince Sep 21, 2017 Accepting new patients
Abelard Psychotherapy Inc. CurrentSince Jan 1, 2021 Accepting new patients
South Shore Mental Health Center, Inc. CurrentSince Mar 21, 2018 Accepting new patients
Wilmington Family Counseling Service Inc CurrentSince Sep 29, 2017 Accepting new patients

Locations

1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709

1032 Turnpike St
Ste 301
Canton, MA 02021
Phone (781) 344-0057

30 Eastbrook Rd
Ste 103
Dedham, MA 02026
Phone (781) 344-0057

3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

460 Quincy Ave
Quincy, MA 02169
Phone (617) 770-4000

5 Middlesex Ave
Unit 11
Wilmington, MA 01887
Phone (978) 658-9889

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512259200000",
    "number": "1730339045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 MINK RUN RD",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018874547",
            "telephone_number": "978-658-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD CANAL DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512730",
            "telephone_number": "978-453-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "MARTHA",
        "middle_name": "SUE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2017-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "236281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.