1A WELLNESS, LLC (NPI# 1386262053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386262053 |
| Entity Type | Organization |
| Organization Name | 1A WELLNESS, LLC |
| Practice Address |
225 Main St Ste 4 Wenham MA 01984-1459 |
| Practice Telephone | 6178175237 |
| Mailing Telephone | 6178175237 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | DR. KRISTINA S. HARTER (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 6178175237 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
225 MAIN ST STE 4 |
| City | WENHAM |
| State | MA |
| Zip Code | 01984-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497880041 | Gail P Borgman | Social Worker | Gordon College, Grapevine Rd, Wenham, MA 01984 | 2007-02-23 |
| 1043374788 | Phyllis Brooks | Social Worker | 225 Main Street, Wenham, MA 01984 | 2006-12-20 |
| 1184709784 | Amy K Hubbard | Counselor | 152r Main Street, Wenham, MA 01984 | 2006-10-25 |
| 1962426072 | Cathy Goldstein Mullin | Social Worker | 48 Cherry Street, Wenham, MA 01984 | 2006-07-26 |
| 1033108584 | Marie Lucey | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984 | 2005-10-18 |
| 1972155422 | Congenial Healthcare, LLC | Clinic/Center | 255 Grapevine Rd, Wenham, MA 01984 | 2019-07-15 |
| 1164904744 | Deana Trefry | Social Worker | 255 Grapevine Rd, Wenham, MA 01984 | 2018-08-30 |
| 1912094202 | Donald Deblock | Psychologist | 135 Main Street, Wenham, MA 01984 | 2006-10-06 |
| 1588643092 | Marie Lucey, PC | Clinic/Center | 255 Grapevine Rd, Wenham, MA 01984 | 2006-01-12 |
| 1013083443 | Eric Wilson Bowman | Counselor | 11 Longfellow Rd, Wenham, MA 01984-1329 | 2006-11-28 |
| Find all providers in zip 01984 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.