Active NPI
Jamii Wellness and Behavioral Medicine, LLC
- Psychiatric/Mental Health Nurse Practitioner
- West Boylston, MA
National Provider Identifier
1144853250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- JAMII WELLNESS AND BEHAVIORAL MEDICINE, LLC
- Practice address
- 360 W Boylston St RM 207
West Boylston, MA 01583-2384 - Phone
- (978) 821-7288
- NPI assigned
- Feb 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Beth K. Yentz, DNP, PMHNP-BC, RN
- Title
- Nurse Practitioner
- Phone
- (978) 821-7288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Nurse Practitioner | 363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
360 W Boylston St RM 207
West Boylston, MA 01583-2384
Mailing address
360 W Boylston St RM 207
West Boylston, MA 01583-2384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
360 W Boylston St
Rm 207
West Boylston, MA 01583
Phone (508) 980-5806
255 Park Ave
Ste 704
Worcester, MA 01609
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Springfield, MA
- NPI 1073097655
-
- Nurse Practitioner
- Worcester, MA
- NPI 1033445051
-
- Psychiatric/Mental Health Nurse Practitioner
- Worcester, MA
- NPI 1528418027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1144853250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W BOYLSTON ST RM 207",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 W BOYLSTON ST RM 207",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832384",
"telephone_number": "978-821-7288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMII WELLNESS AND BEHAVIORAL MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "YENTZ",
"authorized_official_first_name": "MARY BETH",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "978-821-7288",
"authorized_official_credential": "DNP, PMHNP-BC, RN"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.