Active NPI
Ascension Wellness Group
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hyde Park, MA
National Provider Identifier
1336974708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ASCENSION WELLNESS GROUP
- Practice address
- 1234 Hyde Park Ave Ste 202
Hyde Park, MA 02136-2819 - Phone
- (617) 237-6022
- NPI assigned
- Sep 5, 2024
- 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
- Dawn Shelton, LICSW
- Title
- Ceo
- Phone
- (617) 237-6022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1234 Hyde Park Ave Ste 202
Hyde Park, MA 02136-2819
Mailing address
95 Wilson St
Norwood, MA 02062-1776
Phone (617) 548-4571
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Cambridge, MA
- NPI 1962796797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1336974708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WILSON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020621776",
"telephone_number": "617-548-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 HYDE PARK AVE STE 202",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362819",
"telephone_number": "617-237-6022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION WELLNESS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-237-6022",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.