Provider Demographics
NPI:1780182667
Name:BIRCH, ALINA MARIE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:MARIE
Last Name:BIRCH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 POCUMTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1114
Mailing Address - Country:US
Mailing Address - Phone:774-266-6172
Mailing Address - Fax:
Practice Address - Street 1:8 LYMAN ST STE 200
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1487
Practice Address - Country:US
Practice Address - Phone:617-431-6140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2313408163WP0808X, 363LP0808X
RIAPRN04435363LP0808X
KY4031557363LP0808X
GARN334287363LP0808X
ND201530363LP0808X
VT101.0135222363LP0808X
NE114971363LP0808X
MO2023032054363LP0808X
DEL8-0010483363LP0808X
KS53-82642-121363LP0808X
CA95027807363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health