Individual provider Active NPI

Pearl Alweny, NP

  • Psychiatry Physician
  • Waltham, MA
National Provider Identifier
1255830543
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RN2282883 Issued in MA
Practice address
273 Ridge LN Apt 308
Waltham, MA 02452-4990
Phone
(857) 316-8020
NPI assigned
Feb 1, 2018
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2282883 MA
Psychiatry Physician 2084P0800X RN2282883 MA Primary

Addresses

Primary practice location

273 Ridge LN Apt 308
Waltham, MA 02452-4990

Mailing address

PO Box 541378
Waltham, MA 02454-1378

Other identifiers 1

IdentifierTypeStateIssuer
78188MedicaidMA

Other names 1

  • Penninah Gladys Alweny Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL na Direct Tufts Medical Center, Inc.
CONNECT URL NA Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210126000656 MA Practitioner - Nurse Practitioner 7012321474 Reassigns benefits to 3 organizations
I20251212000817 NH Practitioner - Nurse Practitioner 7012321474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Psychiatric Associates IncGroup PAC ID 8921999525, 39 clinicians
Melrosewakefield Healthcare, IncGroup PAC ID 8224935838, 24 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Malden, MA 02148-3573
Phone (857) 557-6001

273 Ridge LN
Apt 308
Waltham, MA 02452-4990
Phone (857) 316-8020

273 Ridge LN Apt
Suite 308
Waltham, MA 02452-4990

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2282883MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hydro Heal Psychiatric Services LLC CurrentSince Oct 16, 2025 Accepting new patients
Pratt Psychiatric Associates, Inc Psychiatry CurrentSince Feb 1, 2026 Accepting new patients
Hallmark Health System Inc Psychiatry CurrentSince Jun 17, 2022 Accepting new patients
Hydro Heal LLC Psychiatry CurrentSince Oct 21, 2023 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Jun 17, 2022 Accepting new patients

Locations

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

100 Hospital Rd
Malden, MA 02148
Phone (781) 322-7560

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1255830543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541378",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024541378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 RIDGE LN APT 308",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024524990",
            "telephone_number": "857-316-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWENY",
        "first_name": "PEARL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2282883",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "RN2282883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78188",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "Y",
            "endpointDescription": "na",
            "affiliationName": "Tufts Medical Center, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "273ridgelane apt 308",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024524982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "273ridgelane apt 308",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024524982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PENNINAH",
            "last_name": "ALWENY",
            "middle_name": "GLADYS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.