Active NPI
Make Room Psychiatry & Wellness PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Dedham, MA
National Provider Identifier
1306755475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MAKE ROOM PSYCHIATRY & WELLNESS PLLC
- Practice address
- 1 Union PL Ste 104
Dedham, MA 02026-4437 - Phone
- (617) 223-7183
- NPI assigned
- Sep 3, 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
- Sophia Montissol, PMHNP-BC
- Title
- Managing Member
- Phone
- (617) 223-7183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1 Union PL Ste 104
Dedham, MA 02026-4437
Mailing address
1 Union PL Ste 104
Dedham, MA 02026-4437
Phone (617) 223-7183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1306755475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNION PL STE 104",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264437",
"telephone_number": "617-223-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNION PL STE 104",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264437",
"telephone_number": "617-223-7183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKE ROOM PSYCHIATRY & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "MONTISSOL",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "617-223-7183",
"authorized_official_credential": "PMHNP-BC"
},
"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 Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.