Healthcare Provider Details

I. General information

NPI: 1316821168
Provider Name (Legal Business Name): RESOLUTE PSYCHIATRY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GREAT RD STE 258
BEDFORD MA
01730-2718
US

IV. Provider business mailing address

200 GREAT RD STE 258
BEDFORD MA
01730-2718
US

V. Phone/Fax

Practice location:
  • Phone: 978-285-5145
  • Fax: 978-285-5146
Mailing address:
  • Phone: 978-285-5145
  • Fax: 978-285-5146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. HARUNA K MALIANI
Title or Position: CEO
Credential: MSN, APRN, PMHNP-BC
Phone: 978-285-5145