MODERN MENTALITY VENTURES PLLC NPI 1780524900

NPI Information

  • NPI: 1780524900
  • Provider Name: MODERN MENTALITY VENTURES PLLC
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Organization
  • Address: 95 TREMONT ST STE 2
    DUXBURY, MA
    ZIP 02332
  • Phone: (781) 803-7757

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NPI Details

MODERN MENTALITY VENTURES PLLC is a psychiatric/mental health and adult clinical nurse specialist in Duxbury, MA. MODERN MENTALITY VENTURES PLLC NPI is 1780524900. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

95 TREMONT ST STE 2
DUXBURY, MA
ZIP 02332-738
Phone: (781) 803-7757
Fax: (617) 249-6025

The provider's authorized official is James Kennedy .
The authorized official title is Ceo and has the following contact phone number (781) 803-7757.

The enumeration date for this NPI number is 3/30/2026 and was last updated on 3/30/2026.

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
1101YM0800XCounselorMental HealthNo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultYes

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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