Individual provider Active NPI

Leah Bellman Miller, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1134571201
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2298749 Issued in MA
Practice address
8 Grove St Ste 400a
Wellesley, MA 02482-7726
Phone
(617) 546-6700
Fax
(617) 546-6800
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2298749 MA
Registered Nurse 163W00000X 836082 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2298749 MA Primary

Addresses

Primary practice location

8 Grove St Ste 400a
Wellesley, MA 02482-7726

Mailing address

8 Grove St Ste 400a
Wellesley, MA 02482-7726
Phone (617) 546-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927000154 MA Practitioner - Nurse Practitioner 8426322678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2298749MAMDRegistered Nurse
836082NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Eliot Community Human Services Current Accepting new patients
Eliot Community Human Services CurrentSince Aug 1, 2017 Accepting new patients

Locations

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

8 Grove St
Ste 400A
Wellesley, MA 02482
Phone (617) 546-6700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1134571201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GROVE ST STE 400A",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827726",
            "telephone_number": "617-546-6700",
            "fax_number": "617-546-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GROVE ST STE 400A",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827726",
            "telephone_number": "617-546-6700",
            "fax_number": "617-546-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LEAH",
        "middle_name": "BELLMAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2298749",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "836082",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2298749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.