ALTA MENTAL HEALTH LLC
NPI 1346876729
Nurse Practitioner - Psychiatric/Mental Health in Salem, MA

Active since March 18, 2020
100 HIGHLAND AVE STE 204, SALEM, MA 01970(617) 959-3994 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2025, Jan 25, 2021, Jan 5, 2021 and 3 more (6 updates tracked since 2020).

About Alta Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTA MENTAL HEALTH LLC (NPI 1346876729) is a healthcare organization registered as a psychiatric/mental health in Salem, Massachusetts and active in the NPI registry since March 2020. The organization lists Alissa Fodor, Np/ Owner, as its authorized official.

NPPES Registry Identity

NPI1346876729
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameALTA MENTAL HEALTH LLC
Location Address100 HIGHLAND AVE STE 204Salem, MA 01970-2702
Mailing Address100 Highland Ave Ste 204Salem, MA 01970-2702 · (617) 959-3994
Organization SubpartNo
Authorized OfficialAlissa FodorNp/ Owner · (617) 959-3994
Enumeration DateMarch 18, 2020
Last NPPES UpdateFebruary 17, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1346876729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
100 HIGHLAND AVE STE 204, Salem, MA 01970

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alta Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alta Mental Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1063130656
100 HIGHLAND AVE
Salem, MA 01970
(781) 244-0115
✔ PECOSSame address
Nurse Practitioner
NPI 1629588629
100 HIGHLAND AVE STE 204
Salem, MA 01970
(781) 244-0115
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518474451
37 FRIEND ST
Lynn, MA 01902
(781) 715-6608
✔ PECOS✔ Accepts Medicare3.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alta Mental Health LLC's NPI number?

The NPI number for Alta Mental Health LLC is 1346876729. It was assigned to this organization in the NPPES registry on March 18, 2020.

Where is Alta Mental Health LLC located?

Alta Mental Health LLC is located at 100 Highland Ave Ste 204, Salem, MA 01970. The listed phone number is (617) 959-3994.

What is Alta Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alta Mental Health LLC enrolled in Medicare?

Yes. Alta Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alta Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Alta Mental Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Alta Mental Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Alta Mental Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alta Mental Health LLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.