Elevate Wellness Center LLC
Nurse Practitioner, Psych/Mental Health in Mattapan, Massachusetts
1104726959- Practice location
- 42 Hallowell St, Mattapan, MA 02126-1777
- Phone
- 202-702-6407
- Fax
- —
- Last updated
- November 6, 2026
Elevate Wellness Center LLC is a healthcare organization based in Mattapan, MA. Elevate Wellness Center LLC practices in Mattapan, MA. The NPI Number for Elevate Wellness Center LLC is 1104726959. The current practice location address for Elevate Wellness Center LLC is 42 Hallowell St, Mattapan, MA 02126-1777 and can be reached out via phone at 202-702-6407.
Provider Profile Details
- NPI Number
- 1104726959
- Provider Name
- Elevate Wellness Center LLC
- Provider Entity Type
- Organization
- Address
- 42 Hallowell St, Mattapan, MA 02126-1777
- Phone Number
- 202-702-6407
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Pius Fon · Ceo · 202-702-6407
- Provider Enumeration Date
- November 6, 2026
- Last Update Date
- November 6, 2026
- Certification Date
- November 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 Hallowell St
Mattapan, MA 02126-1777 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-1777
- Phone Number
- 202-702-6407
Provider Business Mailing Address Details
- Address
- 42 Hallowell St
Mattapan, MA 02126-1777 - City
- Mattapan
- State
- MA
- Zip
- 02126-1777
- Phone Number
- 202-702-6407
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Elevate Wellness Center LLC?
The NPI number of Elevate Wellness Center LLC is 1104726959. It was assigned on November 6, 2026 and is currently active in the NPPES registry.
What is the specialty of Elevate Wellness Center LLC?
Elevate Wellness Center LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Elevate Wellness Center LLC practice?
The practice location is 42 Hallowell St, Mattapan, MA 02126-1777. The office can be reached at 202-702-6407 (phone).
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 1104726959 directly on the NPPES registry website.