Organization Active NPI

Adalia Wellness and Behavioral Services

Doing business as Adalia Wellness and Behavioral

  • Psychiatric/Mental Health Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1215753199
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADALIA WELLNESS AND BEHAVIORAL SERVICES
Doing business as
Adalia Wellness and Behavioral
Practice address
1400 Gorham St Apt 17
Lowell, MA 01852-5248
Phone
(978) 483-1125
Fax
(254) 566-2989
NPI assigned
Nov 25, 2024
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Mercy Kangai Micheni, NPNPI 1588353049
Title
Owner
Phone
(978) 483-1125

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1400 Gorham St Apt 17
Lowell, MA 01852-5248

Mailing address

1400 Gorham St Apt 17
Lowell, MA 01852-5248
Phone (978) 483-1125

Other practice location 1

300 Brickstone Sq Ste 201
Andover, MA 01810-1497
Phone (978) 237-0164

Other names 1

  • Adalia Wellness and Behavioral Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702001466 MA Part B Supplier - Clinic/Group Practice 9335652320 Receives reassigned benefits from 2 practitioners
Practice locations: Lowell, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1215753199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GORHAM ST APT 17",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525248",
            "telephone_number": "978-483-1125",
            "fax_number": "254-566-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GORHAM ST APT 17",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525248",
            "telephone_number": "978-483-1125",
            "fax_number": "254-566-2989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Brickstone Sq Ste 201",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018101497",
            "country_code": "US",
            "telephone_number": "978-237-0164",
            "fax_number": "254-566-2989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADALIA WELLNESS AND BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "MICHENI",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "KANGAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-483-1125",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adalia Wellness and Behavioral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adalia Wellness and Behavioral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.

Verify at the official NPI Registry.