Active NPIOrganization

Massachusetts Center For Adolescent Wellness, LLC

Clinic/Center, Adolescent and Children Mental Health in Lynnfield, Massachusetts

NPI Number1164129177
Practice location
230 Broadway Ste 201, Lynnfield, MA 01940-2320
Fax
—
Last updated
May 28, 2024

Massachusetts Center For Adolescent Wellness, LLC is a healthcare organization based in Lynnfield, MA. Massachusetts Center For Adolescent Wellness, LLC practices in Lynnfield, MA. The NPI Number for Massachusetts Center For Adolescent Wellness, LLC is 1164129177. The current practice location address for Massachusetts Center For Adolescent Wellness, LLC is 230 Broadway Ste 201, Lynnfield, MA 01940-2320 and can be reached out via phone at 781-334-8781.

Provider Profile Details

NPI Number
1164129177
Provider Name
Massachusetts Center For Adolescent Wellness, LLC
Provider Entity Type
Organization
Address
230 Broadway Ste 201, Lynnfield, MA 01940-2320
Phone Number
781-334-8781
Organization Subpart
No
Authorized Official
Ed Thatcher · Chief Financial Officer · 754-217-8127
Provider Enumeration Date
February 9, 2023
Last Update Date
May 28, 2024
Certification Date
May 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Broadway Ste 201
Lynnfield, MA 01940-2320
Zip
01940-2320
Phone Number
781-334-8781
Lynnfield, MA 01940Get directions →

Provider Business Mailing Address Details

Address
230 Broadway Ste 201
Lynnfield, MA 01940-2320
City
Lynnfield
State
MA
Zip
01940-2320

License Information

Taxonomy (1)
Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · 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 Massachusetts Center For Adolescent Wellness, LLC?

The NPI number of Massachusetts Center For Adolescent Wellness, LLC is 1164129177. It was assigned on February 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Massachusetts Center For Adolescent Wellness, LLC?

Massachusetts Center For Adolescent Wellness, LLC is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X).

Where does Massachusetts Center For Adolescent Wellness, LLC practice?

The practice location is 230 Broadway Ste 201, Lynnfield, MA 01940-2320. The office can be reached at 781-334-8781 (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 1164129177 directly on the NPPES registry website.

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