New Leaf Behavioral Health, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NEW LEAF BEHAVIORAL HEALTH, LLC

Practice address

681 Main St
Waltham, MA 02451-0633

Phone

(508) 371-8503

NPI assigned

Dec 9, 2025

Organization subpart

No

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

Authorized official

Name

Rosette Wakanabo, DR.NPI 1629788906

Title

Owner/ Director

Phone

(508) 371-8503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Rosette Wakanabo, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, MA
  • NPI 1629788906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1053275693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510633",
            "telephone_number": "508-371-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510633",
            "telephone_number": "508-371-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "WAKANABO",
        "authorized_official_first_name": "ROSETTE",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "508-371-8503",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Waltham, MA
• Providers in Waltham, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.