ENACT HEALTH LLC NPI 1306446034

NPI Information

NPI: 1306446034
Provider Name: ENACT HEALTH LLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 221 SAINT MARY ST UNIT 2
NEEDHAM, MA
ZIP 02494
Phone: (617) 765-2080

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NPI Details

ENACT HEALTH LLC is an adult mental health clinic center in Needham, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ENACT HEALTH LLC NPI is 1306446034. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

221 SAINT MARY ST UNIT 2
NEEDHAM, MA
ZIP 02494-165
Phone: (617) 765-2080
Fax: (888) 622-7933

The provider's authorized official is Carmine Anthony Dichiara .
The authorized official title is Director and has the following contact phone number (617) 765-2080.

The enumeration date for this NPI number is 10/30/2020 and was last updated on 1/7/2023.

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	Primary
1	103TC0700X	Psychologist	Clinical	No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	No
3	1041C0700X	Social Worker	Clinical	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	No
5	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
7	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
9	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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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