Healthcare Provider Details

I. General information

NPI: 1609703412
Provider Name (Legal Business Name): STANLEY PSYCH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 WASHINGTON ST STE C17
NORWELL MA
02061-1729
US

IV. Provider business mailing address

452 RAYMOND RD
PLYMOUTH MA
02360-6877
US

V. Phone/Fax

Practice location:
  • Phone: 774-220-0892
  • Fax: 774-283-9774
Mailing address:
  • Phone:
  • 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: JESSICA L STANLEY
Title or Position: OWNER
Credential: PMHNP-BC, APRN
Phone: 774-220-0892