Organization Active NPI

Advanced Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dedham, MA
National Provider Identifier
1770131252
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADVANCED PSYCHIATRIC SERVICES PLLC
Practice address
3 Allied Dr.
Suite 303-#16946382
Dedham, MA 02026-6148
Phone
(617) 420-2332
Fax
(617) 313-7665
NPI assigned
Aug 28, 2019
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Michelle Elaine Jacobs, PMHNP-BCNPI 1487073490
Title
Owner
Phone
(617) 420-2332

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 Practitioner 363LP0808X Primary

Addresses

Primary practice location

3 Allied Dr.
Suite 303-#16946382
Dedham, MA 02026-6148

Mailing address

3 Allied Dr Ste 303
Dedham, MA 02026-6148
Phone (617) 420-2332

National Provider Directory

National Provider Directory

Locations

1 Union Pl
Ste 101
Dedham, MA 02026
Phone (201) 388-2656

3 Allied Dr
Ste 30316946382
Dedham, MA 02026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1770131252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ALLIED DR STE 303",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266148",
            "telephone_number": "617-420-2332",
            "fax_number": "617-313-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ALLIED DR.",
            "address_2": "SUITE 303-#16946382",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266148",
            "telephone_number": "617-420-2332",
            "fax_number": "617-313-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-420-2332",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.