Active NPI
Reset Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Worcester, MA
National Provider Identifier
1063325017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RESET PSYCHIATRIC SERVICES LLC
- Practice address
- 25 Green Farms Rd
Worcester, MA 01605-1001 - Phone
- (508) 556-0106
- Fax
- (800) 783-9331
- NPI assigned
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sussie Kondo
- Title
- Ceo
- Phone
- (508) 556-0106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
25 Green Farms Rd
Worcester, MA 01605-1001
Mailing address
25 Green Farms Rd
Worcester, MA 01605-1001
Phone (508) 556-0106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1063325017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 GREEN FARMS RD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051001",
"telephone_number": "508-556-0106",
"fax_number": "800-783-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GREEN FARMS RD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051001",
"telephone_number": "508-556-0106",
"fax_number": "800-783-9331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESET PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "KONDO",
"authorized_official_first_name": "SUSSIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-556-0106"
},
"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 Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.