Organization Active NPI

Sudbury River Therapy PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wayland, MA
National Provider Identifier
1043044944
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUDBURY RIVER THERAPY PLLC
Practice address
260 Boston Post Rd Ste 10
Wayland, MA 01778-1888
Phone
(978) 219-4040
Fax
(978) 496-8386
NPI assigned
Sep 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Regina Perry Siu, MSN, PMHNP-BCNPI 1770366072
Title
Psychiatric Nurse Practitioner
Phone
(978) 219-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

260 Boston Post Rd Ste 10
Wayland, MA 01778-1888

Mailing address

260 Boston Post Rd Ste 10
Wayland, MA 01778-1888
Phone (978) 219-4040

National Provider Directory

National Provider Directory

Locations

365 Boston Post Rd
Ste 101
Sudbury, MA 01776

260 Boston Post Rd
Wayland, MA 01778
Phone (508) 358-4757

260 Boston Post Rd
Ste 10
Wayland, MA 01778
Phone (978) 219-4040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1043044944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BOSTON POST RD STE 10",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781888",
            "telephone_number": "978-219-4040",
            "fax_number": "978-496-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BOSTON POST RD STE 10",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781888",
            "telephone_number": "978-219-4040",
            "fax_number": "978-496-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDBURY RIVER THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "SIU",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "978-219-4040",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.