Organization Active NPI

Epiphany Mental Health & Wellness

  • Psychiatry Physician
  • Braintree, MA
National Provider Identifier
1326641069
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EPIPHANY MENTAL HEALTH & WELLNESS
Practice address
420 Washington St Ste LL6
Braintree, MA 02184-4772
Phone
(781) 985-0210
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Nadia Valentin, DNP
Title
Managing Partner
Phone
(781) 985-0210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083A0300X
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

420 Washington St Ste LL6
Braintree, MA 02184-4772

Mailing address

420 Washington St Ste LL6
Braintree, MA 02184-4772
Phone (781) 985-0210

National Provider Directory

National Provider Directory

Locations

420 Washington St
Ste LL6
Braintree, MA 02184
Phone (617) 501-1856

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1326641069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WASHINGTON ST STE LL6",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844772",
            "telephone_number": "781-985-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WASHINGTON ST STE LL6",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844772",
            "telephone_number": "781-985-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY MENTAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "781-985-0210",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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 Nov 17, 2020; 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.