DYNAMIC WELLNESS CONNECTION INC NPI 1861311516

NPI Information

  • NPI: 1861311516
  • Provider Name: DYNAMIC WELLNESS CONNECTION INC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 720 CANTON AVE
    MILTON, MA
    ZIP 02186
  • Phone: (617) 901-2201

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NPI Details

DYNAMIC WELLNESS CONNECTION INC is an adult mental health clinic center in Milton, 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. DYNAMIC WELLNESS CONNECTION INC NPI is 1861311516. The provider is registered as an organization entity type.

The provider's business location address is:

720 CANTON AVE
MILTON, MA
ZIP 02186-134
Phone: (617) 901-2201

The provider's authorized official is Dennis Tyrell .
The authorized official title is Psychologist/owner and has the following contact phone number (617) 901-2201.

The enumeration date for this NPI number is 7/14/2026 and was last updated on 7/14/2026.

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
1261QM0850XClinic/CenterAdult 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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