Healthcare Provider Details

I. General information

NPI: 1861319493
Provider Name (Legal Business Name): PRACTICAL PSYCHIATRY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SCHOOL ST UNIT 2
SALEM MA
01970-2359
US

IV. Provider business mailing address

46 SCHOOL ST UNIT 2
SALEM MA
01970-2359
US

V. Phone/Fax

Practice location:
  • Phone: 978-539-4318
  • Fax:
Mailing address:
  • Phone: 978-539-4318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE DANFORTH
Title or Position: NURSE PRACITIONER
Credential: PHMNHP-BC
Phone: 978-539-4318