Vibrant Minds and Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VIBRANT MINDS AND WELLNESS, PLLC

Practice address

29 Albion St Ste B4
Wakefield, MA 01880-2801

Phone

(781) 314-0002

NPI assigned

Feb 13, 2024

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen GuyNPI 1114478260

Title

Owner/Aprn

Phone

(781) 314-0002

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen Guy

  • Family Nurse Practitioner
  • Boston, MA
  • NPI 1114478260
  NPD Authorized official
• Shaun Charles Spanos, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wakefield, MA
  • NPI 1003660150
  NPD (past)

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1083478721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ALBION ST STE B4",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ALBION ST STE B4",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802801",
            "telephone_number": "781-314-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MINDS AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "781-314-0002"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vantage at Wakefield LLC
• Rebecca Varney
• Haley Vellante, OT
• Dana Hunter Sibley Venable, LMHC, ATR
• Lindsay Patricia Vertullo, OTR/L
• Ashley Mae Vincent
• Peter John Violette, OD
• Visiting Nurse Association of Middlesex East Inc
• Sailaja Vissapragada
• Juli Vitak, MS RD LDN CNSC

• Psychiatric/Mental Health Nurse Practitioner in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.