Healthcare Provider Details

I. General information

NPI: 1053105403
Provider Name (Legal Business Name): NEW ENGLAND HOLISTIC PSYCHIATRIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 COLLEGE HWY STE B
SOUTHAMPTON MA
01073-9274
US

IV. Provider business mailing address

15 COLLEGE HWY STE B
SOUTHAMPTON MA
01073-9274
US

V. Phone/Fax

Practice location:
  • Phone: 413-213-4344
  • Fax: 413-431-2317
Mailing address:
  • Phone: 413-213-4344
  • Fax: 413-431-2317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SYLVIA MARY FREMERMAN
Title or Position: OWNER
Credential: NP
Phone: 413-213-4344