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ILYSSA MARIE ANDINO
NPI 1770128274
Community/Behavioral Health in Lowell, MA

Active since November 08, 2019
22 OLD CANAL DR, LOWELL, MA 01851(978) 674-5400 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ilyssa Marie Andino NPPES

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

ILYSSA MARIE ANDINO (NPI 1770128274) is an individual community/behavioral health provider in Lowell, Massachusetts and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1770128274
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameILYSSA MARIE ANDINO
Location Address22 OLD CANAL DRLowell, MA 01851-2730
Mailing Address22 Old Canal DrLowell, MA 01851-2730 · (978) 674-5400
Phone(978) 674-5400
Sole ProprietorYes
Enumeration DateNovember 8, 2019
✔ NPI 1770128274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
22 OLD CANAL DR, Lowell, MA 01851
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARMONY CHAGNON LPN
Licensed Practical Nurse
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 452-5155
KYLE MATTHEW CORREA MSW
Social Worker (Clinical)
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
ALYSSA KAYLA OTERO
Student in an Organized Health Care Education/Training Program
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
SOPHIA L KIM
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 452-1736
LEAH MARIE FOSSETT
Behavior Technician
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
JAZMIN SIM KEROACK
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 204-0841
KASSY RIVERA
Counselor (Mental Health)
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
BRIDGID PORKOLA PT, DPT
Physical Therapist
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800

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 Ilyssa Andino's NPI number?

The NPI number for Ilyssa Andino is 1770128274. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Ilyssa Andino located?

Ilyssa Andino practices at 22 Old Canal Dr, Lowell, MA 01851. The listed phone number is (978) 674-5400.

What is Ilyssa Andino's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Ilyssa Andino was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.