Luxe Path Behavioral Health & Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LUXE PATH BEHAVIORAL HEALTH & WELLNESS PLLC

Practice address

27 Mill St Unit D
Quincy, MA 02169-5656

Phone

(860) 424-2623

Fax

(617) 616-8095

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy C Clynch, APRN, PMHNH-BCNPI 1487294559

Title

Owner/Provider

Phone

(860) 424-2623

Specialties & licenses 1

Addresses

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.

• Timothy Clynch

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Quincy, MA
  • NPI 1487294559
  NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1316758071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MILL ST UNIT D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695656",
            "telephone_number": "860-424-2623",
            "fax_number": "617-616-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MILL ST UNIT D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695656",
            "telephone_number": "860-424-2623",
            "fax_number": "617-616-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE PATH BEHAVIORAL HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "CLYNCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "860-424-2623",
        "authorized_official_credential": "APRN, PMHNH-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paul Lustbader, D.M.D.
• Michelle Luster
• Talitha Anne Lutes, LMHC
• Viktoriya Lutsiv, PHARMD
• Lux Dental
• Bonnie Ly, B.A.
• Duc Ly
• Kimberly D Lyder
• Kathleen Lydon, LICSW
• Lynn Family Dental and Orthodontics PC (Joie Smiles Boston)

• Psychiatric/Mental Health Nurse Practitioner in Quincy, MA
• Providers in Quincy, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.