Foundations for Wellness, Inc
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Seekonk, MA
NPI 1194404657 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1194404657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- FOUNDATIONS FOR WELLNESS, INC
- Practice address
- 691 Fall River Ave
Seekonk, MA 02771-5646 - Phone
- (508) 287-1183
- NPI assigned
- Jul 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Valerie Seney, PHD, PMHNP-BC
- Title
- Psychiatric NP/Manager
- Phone
- (508) 635-1337
Practitioners 10
-
Kristen Leigh Brown, PMHNP
-
Valerie Ann Seney, PHD, LMHC, PMHNP-BC
-
Christien Emiliano Tootell-Quevedo, PMHNP-BC
-
Emily Daniell, NP
-
Kristin Lundsten, DNP, MSN, PMNP-BC
-
Mikayla McAdams, PMHNP
-
Caitlin Burditt, PHD
-
Taylor Selke, PMHNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2314876 | Foundations for Wellness, LLC | Certificate of waiver | Dec 1, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231107003615 | MA | Part B Supplier - Clinic/Group Practice | 5698122059 |
Receives reassigned benefits from 7 practitioners Practice locations: Fall River, MA; Seekonk, MA |
| O20240301003131 | RI | Part B Supplier - Clinic/Group Practice | 5698122059 |
Receives reassigned benefits from 6 practitioners Practice locations: East Providence, RI |
National Provider Directory
Locations
1822 N Main St
Ste 203
Fall River, MA 02720
Phone (508) 635-1337
1822 N Main St
Fall River, MA 02720
Phone (508) 635-1337
691 Fall River Ave
Seekonk, MA 02771
Phone (508) 635-1337
197 Warren Ave
Ste 202
East Providence, RI 02914
Phone (508) 635-1337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
691 Fall River Ave
Seekonk, MA 02771-5646
Mailing address
691 Fall River Ave
Seekonk, MA 02771-5646
Other practice location 1
197 Warren Ave Ste 202
East Providence, RI 02914-4826
Phone (508) 635-1337
Other practice location 2
1822 N Main St Ste 203
Fall River, MA 02720-1350
Phone (508) 635-1337
Other providers in Seekonk, MA
- Family Medical Associates, P.C.
- Femina Psychiatry and Wellness PLLC
- Isabella Fernandez
- Five-Forty Wellness Options, LLC
- Ashley Rae Forrestal
- Frank P Casarella DMD PC
- Ashley N Freire
- Kaitlyn Gallant
- Stephen D Gauthier
- George Family Orthodontics Inc
All providers in Seekonk, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.