Healthcare Provider Details

I. General information

NPI: 1689377541
Provider Name (Legal Business Name): WELLNESS CARE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WALNUT ST STE 201
WELLESLEY MA
02481-2100
US

IV. Provider business mailing address

25 WALNUT ST STE 201
WELLESLEY MA
02481-2100
US

V. Phone/Fax

Practice location:
  • Phone: 781-426-3390
  • Fax:
Mailing address:
  • Phone: 781-426-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH SEAN O'GARR
Title or Position: OWNER
Credential: MD
Phone: 508-579-1663