NPIMap

Organization Active NPI

Learnwell Behavioral Health LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Plymouth, MA
National Provider Identifier
1265134001
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LEARNWELL BEHAVIORAL HEALTH LLC
Practice address
2A Main Street
Plymouth, MA 02360
Phone
(508) 562-2477
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Kathleen Egger, EDD
Title
Ceo
Phone
(508) 562-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2A Main Street
Plymouth, MA 02360

Mailing address

2A Main Street
Plymouth, MA 02360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240429003436 MA Part B Supplier - Clinic/Group Practice 7416397161 Receives reassigned benefits from 8 practitioners
Practice locations: Newton, MA
O20241120003347 MA Part A Provider - Community Mental Health Center 7416397161 Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Locations

199 Wells Ave
Ste 1
Newton, MA 02459

199 Wells Ave
Ste 108
Newton, MA 02459
Phone (774) 519-6411

199 Wells Ave
Fl 1
Newton Center, MA 02459
Phone (774) 503-0922

Practitioners & affiliated clinicians

Practitioners 10

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": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1265134001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2A MAIN STREET",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A MAIN STREET",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-562-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNWELL BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "EGGER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-562-2477",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.