Northeast Medical Group, INC.
Registered Nurse, Psych/Mental Health, Adult in Lowell, MA. Organization (NPI-2).
NPI number1104575166
StatusActive
Last updated in NPPESMar 18, 2022
Details
- NPI
- 1104575166
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Mar 18, 2022
- Certification date
- Mar 18, 2022
- Last updated
- Mar 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | – | – | Yes |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 364SP0809X | Clinical Nurse Specialist, Psych/Mental Health, Adult | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Northeast Mental Wellness (Doing Business As)
Practice location
275 Varnum Ave Ste 108Lowell, MA 01854-2117
Phone 978-710-4242 · Fax 978-710-4202
Mailing address
275 Varnum Ave Ste 108Lowell, MA 01854-2117
Phone 978-710-4242 · Fax 978-710-4202
Authorized official
Sachin B Patel
President
9787104242
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