ENLIGHTENED PSYCHIATRY LLC NPI 1386280535

NPI Information

  • NPI: 1386280535
  • Provider Name: ENLIGHTENED PSYCHIATRY, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 54 CENTRAL ST STE 2
    SOUTHBOROUGH, MA
    ZIP 01745
  • Phone: (508) 714-7604

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NPI Details

ENLIGHTENED PSYCHIATRY, LLC is a mental health (including community mental health center) clinic center in Southborough, MA. ENLIGHTENED PSYCHIATRY, LLC NPI is 1386280535. The provider is registered as an organization entity type.

The provider's business location address is:

54 CENTRAL ST STE 2
SOUTHBOROUGH, MA
ZIP 01745-032
Phone: (508) 714-7604
Fax: (508) 213-3968

The provider's authorized official is Jean Waitneight .
The authorized official title is Practice Owner and has the following contact phone number (617) 686-9802.

The enumeration date for this NPI number is 11/22/2019 and was last updated on 11/22/2019.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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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