Northeast Medical Group, Inc.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

Legal business name

NORTHEAST MEDICAL GROUP, INC.

Doing business as

Northeast Mental Wellness

Practice address

275 Varnum Ave Ste 108
Lowell, MA 01854-2117

Phone

(978) 710-4242

Fax

(978) 710-4202

NPI assigned

Mar 18, 2022

Last updated

Mar 18, 2022By 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

Sachin B Patel, MDNPI 1538116991

Title

President

Phone

(978) 710-4242

Specialties & licenses 4

Addresses

Other names 1

• Northeast Mental Wellness Doing business as

Tax ID family

Northeast Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1578707162
  NPD tax ID

Locations

Practitioners 1

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.

• Sachin B Patel, M.D.

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1538116991
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1104575166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 108",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542117",
            "telephone_number": "978-710-4242",
            "fax_number": "978-710-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 108",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542117",
            "telephone_number": "978-710-4242",
            "fax_number": "978-710-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-710-4242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nonnie M. Estella, MD P.C.
• Michelle Anita Noonan, DPT
• Darren E. Nordin, LICSW
• Christina Norman
• Northeast Endoscopy Center, LLC
• Northeast Medical Group, Inc.
• Northwood Ma SNF LLC (Northwood Rehabilitation & Health Care Center)
• Angellina Nou
• Andrew James Nowalk, CRNA
• Mariam Nsimbi

• Adult Psychiatric/Mental Health Registered Nurse in Lowell, MA
• Providers in Lowell, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.