Water House Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WATER HOUSE WELLNESS, LLC

Doing business as

Water House Wellness

Practice address

742 Massachusetts Ave Ste 3
Arlington, MA 02476-4712

Phone

(781) 460-7107

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Kelly A FitzpatrickNPI 1811128044

Title

Owning Member

Phone

(781) 460-7107

Specialties & licenses 5

Addresses

Other names 1

• Water House Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly A Fitzpatrick, LMT

  • Massage Therapist
  • Arlington, MA
  • NPI 1811128044
  NPD Authorized official

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1326895608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MASSACHUSETTS AVE STE 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764712",
            "telephone_number": "781-460-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MASSACHUSETTS AVE STE 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764712",
            "telephone_number": "781-460-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER HOUSE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNING MEMBER",
        "authorized_official_telephone_number": "781-460-7107",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water House Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elias Wamae
• Qin Wang
• Shihwe Wang, PHD
• Mary Catherine Ward, MSW
• Satoko Watanabe, LICSW
• Lisa A Watras Wright, PMHNP-BC, MSN
• Greg Watt, LICSW
• Jenny Weaver, RN, IBCLC
• Joanna R Weinberg, PHD
• Molly Weinberg, LMHC, NCC, RDT

• Clinic/Center in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.