Organization Active NPI

Lotus Psychiatry & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1255016630
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOTUS PSYCHIATRY & WELLNESS LLC
Practice address
150 Grossman Dr Ste 205
Braintree, MA 02184-4947
Phone
(781) 285-5767
Fax
(781) 207-9658
NPI assigned
Jun 21, 2023
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Sheila Marcellus, DNPNPI 1043736523
Title
Psych/Mental Nurse Practitioner
Phone
(781) 285-5767

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

150 Grossman Dr Ste 205
Braintree, MA 02184-4947

Mailing address

150 Grossman Dr Ste 205
Braintree, MA 02184-4947

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816002987 MA Part B Supplier - Clinic/Group Practice 2567824915 Receives reassigned benefits from 1 practitioner
Practice locations: Braintree, MA

National Provider Directory

National Provider Directory

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": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1255016630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GROSSMAN DR STE 205",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GROSSMAN DR STE 205",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844947",
            "telephone_number": "781-285-5767",
            "fax_number": "781-207-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PSYCHIATRY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MARCELLUS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PSYCH/MENTAL NURSE PRACTITIONER",
        "authorized_official_telephone_number": "781-285-5767",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "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 Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.