Enlightened Psychiatry, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENLIGHTENED PSYCHIATRY, LLC

Practice address

54 Central St Ste 2
Southborough, MA 01745-1032

Phone

(508) 714-7604

Fax

(508) 213-3968

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Jean Waitneight, MSN,PMHNP-BC, PNP-BC

Title

Practice Owner

Phone

(617) 686-9802

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1386280535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CENTRAL ST STE 2",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017451032",
            "telephone_number": "508-714-7604",
            "fax_number": "508-213-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CENTRAL ST STE 2",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017451032",
            "telephone_number": "508-714-7604",
            "fax_number": "508-213-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "WAITNEIGHT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "617-686-9802",
        "authorized_official_credential": "MSN,PMHNP-BC, PNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Eberle, M.D.
• William M Egan, DMD
• Brooke K Eliopoulos
• Ellyn M Ellis, M.S., B.C.B.A.
• Jennifer Catherine Engel, MSED, BCBA
• Epiphany Wellness Massachusetts LLC
• Ibari Ezekwe
• Brendan Falk
• Jeffrey James Farrell, ATC
• Stacey Panagotopulos Federico, PHD,RD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Southborough, MA
• Providers in Southborough, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.