Psychiatric Associates of Lynn

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

210779 Issued in MA

Legal business name

PSYCHIATRIC ASSOCIATES OF LYNN

Practice address

350 Revere Beach Blvd
Revere, MA 02151-4866

Phone

(781) 286-5619

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Alexander Lipin, M.D.

Title

Physician

Phone

(781) 268-2200

Specialties & licenses 1

Addresses

Other names 1

• Beverly Hospital Other name

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740261437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 REVERE BEACH BLVRD APT.# 9-10P",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514866",
            "telephone_number": "781-286-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 REVERE BEACH BLVD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514866",
            "telephone_number": "781-286-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF LYNN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-268-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "210779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ernest F Powers Jr., DMD
• Ernest Frank Powers III, DMD
• Rusha Prajapati, DNP
• Michela Pronesti
• Prospect House
• Hanying Pu, LMHC
• Yongfeng Qu, LIC. AC.
• Vanessa Quintero, LMHC
• Maliha Rahman, OTR/L
• Vidya Raju, M.D.

• Adult Mental Health Clinic/Center in Revere, MA
• Providers in Revere, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.