Healthcare Provider Details

I. General information

NPI: 1003703232
Provider Name (Legal Business Name): NEW BEDFORD PSYCHIATRY AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 UNION ST
NEW BEDFORD MA
02740-3691
US

IV. Provider business mailing address

355 UNION ST
NEW BEDFORD MA
02740-3691
US

V. Phone/Fax

Practice location:
  • Phone: 508-401-8605
  • Fax: 508-503-6512
Mailing address:
  • Phone: 508-401-8605
  • Fax: 508-503-6512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEX JACOB WEINER
Title or Position: CEO & PRESIDENT
Credential: MPH, FNP/PMHNP
Phone: 774-263-3344