Active NPIOrganization

Lifebridge Wellness Services, PLLC

Nurse Practitioner, Psych/Mental Health in Revere, Massachusetts

NPI Number1659225282
Practice location
152 Fenley St, Revere, MA 02151-2341
Fax
—
Last updated
February 23, 2026

Lifebridge Wellness Services, PLLC is a healthcare organization based in Revere, MA. Lifebridge Wellness Services, PLLC practices in Revere, MA. The NPI Number for Lifebridge Wellness Services, PLLC is 1659225282. The current practice location address for Lifebridge Wellness Services, PLLC is 152 Fenley St, Revere, MA 02151-2341 and can be reached out via phone at 401-365-0791.

Provider Profile Details

NPI Number
1659225282
Provider Name
Lifebridge Wellness Services, PLLC
Provider Entity Type
Organization
Address
152 Fenley St, Revere, MA 02151-2341
Phone Number
401-365-0791
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
John Macharia, PMHNP-BC, APRN · Owner / Managing Member · 401-365-0791
Provider Enumeration Date
February 23, 2026
Last Update Date
February 23, 2026
Certification Date
February 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
152 Fenley St
Revere, MA 02151-2341
City
Revere
Zip
02151-2341
Phone Number
401-365-0791
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
152 Fenley St
Revere, MA 02151-2341
City
Revere
State
MA
Zip
02151-2341
Phone Number
401-365-0791

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 Lifebridge Wellness Services, PLLC?

The NPI number of Lifebridge Wellness Services, PLLC is 1659225282. It was assigned on February 23, 2026 and is currently active in the NPPES registry.

What is the specialty of Lifebridge Wellness Services, PLLC?

Lifebridge Wellness Services, PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Lifebridge Wellness Services, PLLC practice?

The practice location is 152 Fenley St, Revere, MA 02151-2341. The office can be reached at 401-365-0791 (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 1659225282 directly on the NPPES registry website.

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