Northeast Medical Group, Inc.

Organization Active NPI Adult Psychiatric/Mental Health Registered Nurse · Lowell, MA

NPI 1104575166 · NPPES record last updated Mar 18, 2022

Key facts

NPI
1104575166
Entity type
Organization (NPI type 2)
Primary specialty
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
Legal business name
NORTHEAST MEDICAL GROUP, INC.
Practice address
275 Varnum Ave Ste 108
Lowell, MA 01854-2117
Phone
(978) 710-4242
Fax
(978) 710-4202
NPI assigned
Mar 18, 2022
Organization subpart
No

Authorized official

Name
Sachin B Patel, MD
Title
President
Phone
(978) 710-4242

Corporate family (same tax ID) 1

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

Practitioners 1

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

National Provider Directory

Tax ID family
Northeast Medical Group (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
101YM0800X
Clinical Psychologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
103TC0700X
Adult Psychiatric/Mental Health Registered Nurse
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
163WP0809X Yes
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
364SP0809X

Addresses

Primary practice location

275 Varnum Ave Ste 108
Lowell, MA 01854-2117

Mailing address

275 Varnum Ave Ste 108
Lowell, MA 01854-2117
Phone (978) 710-4242

Other names

  • Northeast Mental Wellness Doing business as

Other providers in Lowell, MA

All providers in Lowell, MA · Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.