Healthcare Provider Details

I. General information

NPI: 1033872866
Provider Name (Legal Business Name): ADVANCED PSYCH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N COMMERCIAL ST STE 502CR
MANCHESTER NH
03101-1151
US

IV. Provider business mailing address

25 BEECHWOOD RD
SALEM NH
03079-4068
US

V. Phone/Fax

Practice location:
  • Phone: 603-892-9922
  • Fax: 603-458-1329
Mailing address:
  • Phone: 603-892-9922
  • Fax: 603-458-1329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NORRINE MCNELLEY
Title or Position: PMHNP-BC
Credential:
Phone: 781-975-2132