ME MYSELF & MIND LLC NPI 1023999604

NPI Information

  • NPI: 1023999604
  • Provider Name: ME, MYSELF, & MIND, LLC
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 40 SHATTUCK RD STE 228
    ANDOVER, MA
    ZIP 01810
  • Phone: (617) 500-3513

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NPI Details

ME, MYSELF, & MIND, LLC is a psychiatric/mental health registered nurse in Andover, MA. ME, MYSELF, & MIND, LLC NPI is 1023999604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 SHATTUCK RD STE 228
ANDOVER, MA
ZIP 01810-459
Phone: (617) 500-3513

The provider's authorized official is Justin Dodge .
The authorized official title is Authorized Official and has the following contact phone number (617) 500-3513.

The enumeration date for this NPI number is 9/10/2025 and was last updated on 9/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2163WP0808XRegistered NursePsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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