Active NPIOrganization

Wisdom Community Health LLC

Nurse Practitioner, Psych/Mental Health in Lowell, Massachusetts

NPI Number1003751850
Practice location
600 Pine St, Lowell, MA 01851-2309
Fax
978-797-9682
Last updated
April 20, 2026

Wisdom Community Health LLC is a healthcare organization based in Lowell, MA. Wisdom Community Health LLC practices in Lowell, MA. The NPI Number for Wisdom Community Health LLC is 1003751850. The current practice location address for Wisdom Community Health LLC is 600 Pine St, Lowell, MA 01851-2309 and can be reached out via phone at 978-338-7360 and via fax at 978-797-9682.

Provider Profile Details

NPI Number
1003751850
Provider Name
Wisdom Community Health LLC
Provider Entity Type
Organization
Address
600 Pine St, Lowell, MA 01851-2309
Phone Number
978-338-7360
Fax Number
978-797-9682
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Declan Fotoh · Owner · 978-338-7360
Provider Enumeration Date
April 20, 2026
Last Update Date
April 20, 2026
Certification Date
April 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 Pine St
Lowell, MA 01851-2309
City
Lowell
Zip
01851-2309
Phone Number
978-338-7360
Fax Number
978-797-9682
Lowell, MA 01851Get directions →

Provider Business Mailing Address Details

Address
265 Chelmsford St Ste 7
Chelmsford, MA 01824-2335
City
Chelmsford
State
MA
Zip
01824-2335
Phone Number
978-338-7360
Fax Number
978-797-9682

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wisdom Community Health LLC?

The NPI number of Wisdom Community Health LLC is 1003751850. It was assigned on April 20, 2026 and is currently active in the NPPES registry.

What is the specialty of Wisdom Community Health LLC?

Wisdom Community Health LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Wisdom Community Health LLC practice?

The practice location is 600 Pine St, Lowell, MA 01851-2309. The office can be reached at 978-338-7360 (phone) or 978-797-9682 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003751850 directly on the NPPES registry website.

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