NORTHEAST WELLNESS, LLC
Nurse Practitioner (Psychiatric/Mental Health)

Address: 62 N Margin St Apt 1, Boston, MA 02113-1678

NORTHEAST WELLNESS, LLC (NPI# 1215528641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215528641
Entity Type Organization
Organization Name NORTHEAST WELLNESS, LLC
Practice Address 62 N Margin St Apt 1
Boston
MA 02113-1678
Practice Telephone 7814695320
Mailing Address 71 Commercial St # 166
Boston
MA 02109-1320
Mailing Telephone 7814695320
Certification Date 2021-02-02
Enumeration Date 2021-01-28
Last Update Date 2021-02-02
Authorized Official Telephone 7814695320
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psychiatric/Mental Health
193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 62 N MARGIN ST APT 1
City BOSTON
State MA
Zip Code 02113-1678

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1790934602 Adela Agolli Dentist 44 Prince Street, Apt 510, Boston, MA 02113 2008-09-16
1417103193 Loren Jean D'Angelo Nurse Practitioner · Pediatrics 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 2008-08-13
1073635793 Anthony Vincent Bova Dentist 79 A Prince Street, Boston, MA 02113 2007-04-04
1932274941 Janet Mou Lan Kwan Nurse Practitioner 70 Fulton Street, Boston, MA 02113 2006-11-22
1780606608 North End Community Health Committee Inc · North End Community Health Center Preventive Medicine · Public Health & General Preventive Medicine 332 Hanover Street, Boston, MA 02113 2006-07-24
1124510847 Alexandra Jamieson Social Worker · Clinical 332 Hanover St, Boston, MA 02113 2018-05-30
1003361551 Christine Elizabeth O'Connor Registered Nurse 332 Hanover St, Boston, MA 02113 2016-08-24
1639502438 Deepti Singh Dentist 332 Hanover St, Boston, MA 02113 2013-08-15
1427278191 Amy Elizabeth Snell Social Worker 332 Hanover Street, Boston, MA 02113 2007-04-26
1154496172 Clara M Gona Nurse Practitioner 70 Fulton Street, Boston, MA 02113 2006-11-22
Find all providers in zip 02113

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376153494 Melissa Broughton 110 Salem St Apt 4, Boston, MA 02113-1763 2020-08-04
1780239483 Dallas Michelle Ducar 55 Fruit St Fl Hall4, Boston, MA 02114-2696 2019-08-08
1295258259 Joseph F Toomey IIi 48 Melrose St., Boston, MA 02116-2409 2017-07-21
1871950733 Rebecca Donadio 84 State Stareet, Suite 660, Boston, MA 02109-2200 2016-01-24
1174806046 Donald L Payette Jr. 40 River St Unit 208, Boston, MA 02126-2983 2011-09-27
1720683485 Brittney Jurgen 185 Cambridge St Ste 2000, Boston, MA 02114-2790 2020-12-01
1134759665 Sokhira Christina Yang Boston Medical Center, 88 E Newton Street, Boston, MA 02118 2020-01-23
1730661042 Brittany Catherine Hughes 800 Washington St, Boston, MA 02111-1552 2018-09-04
1528549425 Adekemi Victoria Adeleye 1 Boston Medical Center Place, Boston, MA 02118 2018-08-28
1174022693 Ally Integrated Healthcare LLC 30 Newbury St Ste 3, Boston, MA 02116-3239 2018-02-10
Find all providers in BOSTON

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City BOSTON
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.