Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tasha Lynn Mandeville, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669199477

Tasha Lynn Mandeville, PMHNP-BC is a Nurse Practitioner in Lowell, Massachusetts. Qualified in 2022, 4 years ago. Practices with Lgh Medical Group, Inc, a 163-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1 Hospital Dr
Lowell, MA 01852-1311
Phone: (978) 937-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2311066 (MA)

Record details

NPI number1669199477
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 21, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lgh Medical Group, Inc. — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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