Active NPI
Wholistic Mental Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
National Provider Identifier
1447084116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WHOLISTIC MENTAL HEALTH SERVICES
- Practice address
- 244 Liberty St Ste 7a
Brockton, MA 02301-5561 - Phone
- (774) 331-5551
- NPI assigned
- Aug 27, 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
- Natasha Fevry
- Title
- Owner
- Phone
- (774) 331-5551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
244 Liberty St Ste 7a
Brockton, MA 02301-5561
Mailing address
44 Washington St
Plainville, MA 02762-5111
Phone (774) 331-5551
National Provider Directory
National Provider DirectoryLocations
44 Washington St
Plainville, MA 02762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1447084116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 WASHINGTON ST",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027625111",
"telephone_number": "774-331-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 LIBERTY ST STE 7A",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015561",
"telephone_number": "774-331-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLISTIC MENTAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "FEVRY",
"authorized_official_first_name": "NATASHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "774-331-5551"
},
"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 Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.