PINE PSYCHIATRY
NPI 1922716596
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, NH

Active since November 11, 2022
2 S PARK ST, LEBANON, NH 03766(603) 865-7157 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2023, Nov 11, 2022 (2 updates tracked since 2022).

About Pine Psychiatry NPPES

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

PINE PSYCHIATRY (NPI 1922716596) is a healthcare organization registered as a psychiatric/mental health in Lebanon, New Hampshire and active in the NPI registry since November 2022. The organization lists Timothy Bailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1922716596
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePINE PSYCHIATRY
Location Address2 S PARK STLebanon, NH 03766-1384
Mailing Address2 S Park StLebanon, NH 03766-1384 · (603) 865-7157 · Fax (603) 709-2752
Organization SubpartNo
Authorized OfficialTimothy BaileyOwner · (603) 865-7157
Enumeration DateNovember 11, 2022
Last NPPES UpdateSeptember 13, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
✔ NPI 1922716596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2 S PARK ST, Lebanon, NH 03766

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)

Pine Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine Psychiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1063013423
2 S PARK ST
Lebanon, NH 03766
(603) 865-7157
✔ PECOSSame address

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 Pine Psychiatry's NPI number?

The NPI number for Pine Psychiatry is 1922716596. It was assigned to this organization in the NPPES registry on November 11, 2022.

Where is Pine Psychiatry located?

Pine Psychiatry is located at 2 S Park St, Lebanon, NH 03766. The listed phone number is (603) 865-7157.

What is Pine Psychiatry's specialty?

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

Is Pine Psychiatry enrolled in Medicare?

Yes. Pine Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pine Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pine Psychiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pine Psychiatry accept?

Health plans from WellSense Health Plan list Pine Psychiatry 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 Pine Psychiatry was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.