Wisteria Health LLC
Community/Behavioral Health in Pittsfield, Massachusetts
1649025123- Practice location
- 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066
- Phone
- 617-903-7770
- Fax
- —
- Last updated
- April 18, 2024
Wisteria Health LLC is a healthcare organization based in Pittsfield, MA. Wisteria Health LLC practices in Pittsfield, MA. The NPI Number for Wisteria Health LLC is 1649025123. The current practice location address for Wisteria Health LLC is 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066 and can be reached out via phone at 617-903-7770.
Provider Profile Details
- NPI Number
- 1649025123
- Provider Name
- Wisteria Health LLC
- Provider Entity Type
- Organization
- Address
- 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066
- Phone Number
- 617-903-7770
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Ethan Slabaugh · Nurse Practitioner · 617-903-7770
- Provider Enumeration Date
- April 18, 2024
- Last Update Date
- April 18, 2024
- Certification Date
- April 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066 - City
- Pittsfield
- State
- Massachusetts
- Zip
- 01201-7066
- Phone Number
- 617-903-7770
Provider Business Mailing Address Details
- Address
- 82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066 - City
- Pittsfield
- State
- MA
- Zip
- 01201-7066
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · 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 Wisteria Health LLC?
The NPI number of Wisteria Health LLC is 1649025123. It was assigned on April 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Wisteria Health LLC?
Wisteria Health LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Wisteria Health LLC practice?
The practice location is 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066. The office can be reached at 617-903-7770 (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 1649025123 directly on the NPPES registry website.