Provider Demographics
NPI:1306677505
Name:NAMAPSYCH
Entity type:Organization
Organization Name:NAMAPSYCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC, FNP-BC
Authorized Official - Phone:508-340-8347
Mailing Address - Street 1:10 MUZZEY ST STE 9
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-5200
Mailing Address - Country:US
Mailing Address - Phone:351-333-0507
Mailing Address - Fax:
Practice Address - Street 1:10 MUZZEY ST STE 9
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5200
Practice Address - Country:US
Practice Address - Phone:351-333-0507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty