Healther Providers Data Logo


Provider Type Icon

MY MENTAL HEALTH MATTERS PSYCHIATRIC SERVICES LLC NPI 1295444321


NPI Information

NPI: 1295444321
Provider Name: MY MENTAL HEALTH MATTERS PSYCHIATRIC SERVICES LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
400 TRADECENTER STE 5900
WOBURN, MA
ZIP 01801
Phone: (617) 468-1115
Get Directions

MY MENTAL HEALTH MATTERS PSYCHIATRIC SERVICES LLC is a mental health (including community mental health center) clinic center in Woburn, MA. MY MENTAL HEALTH MATTERS PSYCHIATRIC SERVICES LLC NPI is 1295444321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 TRADECENTER STE 5900
WOBURN, MA
ZIP 01801-471
Phone: (617) 468-1115

The provider's authorized official is Fortunate Munhutu .
The authorized official title is Owner and has the following contact phone number (978) 457-1194.

The enumeration date for this NPI number is 11/17/2022 and was last updated on 11/17/2022.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RN2307110OTHERMASSACHUSETTSLICENSE

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: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »