Healthcare Provider Details

I. General information

NPI: 1710830765
Provider Name (Legal Business Name): NEUROBRIDGE WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 VARNUM AVE STE 208
LOWELL MA
01854-2109
US

IV. Provider business mailing address

275 VARNUM AVE STE 208
LOWELL MA
01854-2109
US

V. Phone/Fax

Practice location:
  • Phone: 978-330-6335
  • Fax: 978-355-1002
Mailing address:
  • Phone: 978-330-6335
  • Fax: 978-355-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SACHIN PATEL
Title or Position: PRESIDENT
Credential: MD
Phone: 978-330-6335