Elevate Psychiatry & Wellness, PLLC
Nurse Practitioner, Psych/Mental Health in Waltham, MA. Organization (NPI-2).
NPI number1962392399
StatusActive
Last updated in NPPESOct 3, 2025
Details
- NPI
- 1962392399
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Psychiatry & Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2025
- Certification date
- Oct 3, 2025
- Last updated
- Oct 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
40 Prospect StWaltham, MA 02453-8525
Phone 978-216-6698 · Fax 603-217-2063
Mailing address
51 Pleasant St # 826Malden, MA 02148-4904
Authorized official
Francis Kangara
Owner
9782166698
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