Ananses Wisdom Psychiatry PLLC
Organization Active NPI Child & Adolescent Psychiatry Physician · Milton, MA
NPI 1124877931 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1124877931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- Legal business name
- ANANSES WISDOM PSYCHIATRY PLLC
- Practice address
- 2 Granite Ave Ste 260
Milton, MA 02186-4381 - Phone
- (617) 615-9702
- NPI assigned
- May 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Micaela Owusu, MD
- Title
- Owner
- Phone
- (617) 615-9702
Practitioners 1
-
Micaela B Owusu, MD
National Provider Directory
Locations
2 Granite Ave
Ste 260
Milton, MA 02186
Phone (617) 369-7136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X | Yes |
Addresses
Primary practice location
2 Granite Ave Ste 260
Milton, MA 02186-4381
Mailing address
2 Granite Ave Ste 260
Milton, MA 02186-4381
Phone (617) 615-9702
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- Anam Cara Counseling SVCS
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All providers in Milton, MA · Child & Adolescent Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.