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1215871876 NPI number — WILLOW MENTAL HEALTH

NPI Number: 1215871876
Health Care Provider/Practitioner: WILLOW MENTAL HEALTH

Information about “1215871876” NPI (WILLOW MENTAL HEALTH) exists in 1215871876 in HTML format HTML  |  1215871876 in plain Text format TXT  |  1215871876 in PDF (Portable Document Format) PDF  |  1215871876 in an XML format XML  formats.

NPI Number : 1215871876 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215871876",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WILLOW MENTAL HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "400 WALNUT PLAIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02770-4050",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-965-1309",
    "MailingAddressFaxNumber": "866-437-5208",
    "FirstLinePracticeLocationAddress": "74 FAUNCE CORNER RD UNIT 610",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DARTMOUTH",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02747-1209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-965-1309",
    "PracticeLocationAddressFaxNumber": "866-437-5208",
    "EnumerationDate": "04/15/2026",
    "LastUpdateDate": "04/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NUNES",
    "AuthorizedOfficialFirstName": "WANDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "800-735-8951",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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