Healthcare Provider Details

I. General information

NPI: 1811863624
Provider Name (Legal Business Name): MOOSEY AND ADAMS BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W MAIN ST BLDG B
NORTHBOROUGH MA
01532-2132
US

IV. Provider business mailing address

300 W MAIN ST
NORTHBOROUGH MA
01532-2132
US

V. Phone/Fax

Practice location:
  • Phone: 774-570-5161
  • Fax:
Mailing address:
  • Phone: 774-570-5161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EUNICE PEREIRA KOWALCZYK
Title or Position: PROVIDER/OWNER
Credential:
Phone: 774-570-5161