Organization Active NPI

Bliss Holistic Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MA
National Provider Identifier
1205613007
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLISS HOLISTIC PSYCHIATRY PLLC
Practice address
105 Webster St Ste 5
Hanover, MA 02339-1227
Phone
(401) 321-4618
NPI assigned
Sep 13, 2023
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Anna Naeva, PMHNP-BCNPI 1710564927
Title
Nurse Practitioner
Phone
(401) 321-4618

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

105 Webster St Ste 5
Hanover, MA 02339-1227

Mailing address

105 Webster St Ste 5
Hanover, MA 02339-1227

Other practice location 1

127 Church St Fl 3
New Haven, CT 06510-2001
Phone (401) 321-4618

Other practice location 2

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (401) 321-4618

National Provider Directory

National Provider Directory

Locations

127 Church St
Fl 3
New Haven, CT 06510
Phone (401) 321-4618

105 Webster St
Ste 5
Hanover, MA 02339
Phone (508) 353-9602

280 Moody St
Waltham, MA 02453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1205613007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST STE 5",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST STE 5",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "401-321-4618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Church St Fl 3",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102001",
            "country_code": "US",
            "telephone_number": "401-321-4618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "401-321-4618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLISS HOLISTIC PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "NAEVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "401-321-4618",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.