Engage Wellness Acton, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ENGAGE WELLNESS ACTON, LLC

Practice address

164 Great Rd
Acton, MA 01720-5711

Phone

(617) 949-1406

NPI assigned

Aug 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eddie Behenna

Title

Executive Director

Phone

(617) 949-1406

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1023848116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205711",
            "telephone_number": "617-949-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE WELLNESS ACTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BEHENNA",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-949-1406"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Marie Eaton, RN
• Robert Eberhardt, DPT
• Eco Laboratory LLC
• Ilham Edmunds
• Abigail Quincy Egginton, ND, FNP-C
• Abigail Enochs
• Susan Toby Eppling, MS, OTR/L
• Matthew Eppy
• Susan V Ericson
• Melissa Marie Esau, FNP-C

• Substance Abuse Rehabilitation Facility in Acton, MA
• Providers in Acton, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.