Active NPI
Willow Mental Health
- Psychiatric/Mental Health Nurse Practitioner
- Dartmouth, MA
National Provider Identifier
1215871876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WILLOW MENTAL HEALTH
- Practice address
- 74 Faunce Corner Rd Unit 610
Dartmouth, MA 02747-1209 - Phone
- (508) 965-1309
- Fax
- (866) 437-5208
- NPI assigned
- Apr 15, 2026
- Last updated
- Sep 16, 2026
- 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
- Wanda Nunes
- Title
- Pmhnp
- Phone
- (508) 965-1309
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
74 Faunce Corner Rd Unit 610
Dartmouth, MA 02747-1209
Mailing address
74 Faunce Corner Mall Rd
Dartmouth, MA 02747-6223
Phone (508) 965-1309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
74 Faunce Corner Mall Rd
Dartmouth, MA 02747
Phone (508) 965-1309
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dartmouth, MA
- NPI 1477235711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1215871876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 FAUNCE CORNER MALL RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027476223",
"telephone_number": "508-965-1309",
"fax_number": "949-989-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 FAUNCE CORNER RD UNIT 610",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471209",
"telephone_number": "508-965-1309",
"fax_number": "866-437-5208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-15",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "NUNES",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "508-965-1309"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.