Organization Active NPI

Unified Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, MA
National Provider Identifier
1386419406
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
UNIFIED WELLNESS, LLC
Practice address
44 Wood Ave BLDG 1
Mansfield, MA 02048-1255
Phone
(508) 371-2099
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Authorized official

Name
Oluwatoyosi OyebodeNPI 1619502135
Title
Pmhnp
Phone
(508) 371-2099

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

44 Wood Ave BLDG 1
Mansfield, MA 02048-1255

Mailing address

44 Wood Ave BLDG 1
Mansfield, MA 02048-1255
Phone (508) 371-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108000718 MA Part B Supplier - Clinic/Group Practice 7719338433 Receives reassigned benefits from 2 practitioners
Practice locations: Mansfield, MA

National Provider Directory

National Provider Directory

Locations

44 Wood Ave
Bldg 1
Mansfield, MA 02048
Phone (508) 371-2099

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768003200000",
    "number": "1386419406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WOOD AVE BLDG 1",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481255",
            "telephone_number": "508-371-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WOOD AVE BLDG 1",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481255",
            "telephone_number": "508-371-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A",
        "authorized_official_last_name": "OYEBODE",
        "authorized_official_first_name": "OLUWATOYOSI",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "508-371-2099"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.