Light & Mind Behavioral Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIGHT & MIND BEHAVIORAL HEALTH SERVICES LLC

Practice address

45 Dan Rd Ste 125
Canton, MA 02021-2852

Phone

(781) 243-5206

NPI assigned

Mar 25, 2025

Organization subpart

No

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

Authorized official

Name

Comfort SowaleNPI 1427620756

Title

Owner of Entity

Phone

(781) 243-5206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Comfort Olufunmilayo Sowale, CNP

  • Nurse Practitioner
  • Canton, MA
  • NPI 1427620756
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1386446037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DAN RD",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "781-243-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DAN RD STE 125",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "781-243-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT & MIND BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "SOWALE",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "781-243-5206"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald L Lerman, RPH
• Zinaida Levin, MD
• David H Levoy, M.D.
• Peng Cheng Li, PHARM.D.
• Suiki Liao
• Light Behavioral Health, PLLC
• Ariel Linehan, PA-C
• Aviva L. List, LICSW
• Alyson Litz
• Kelsey Lockhead, RD, LDN

• Psychiatric/Mental Health Nurse Practitioner in Canton, MA
• Providers in Canton, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.