Organization Active NPI

Mindful Wellbeing, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • East Sandwich, MA
National Provider Identifier
1467774356
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
203553 Issued in MA
Legal business name
MINDFUL WELLBEING, LLC
Practice address
11 Jillson Way
East Sandwich, MA 02537-1265
Phone
(508) 833-1652
Fax
(774) 413-9345
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Mrs. Erin T Ackland, NP, CNS
Title
Owner
Phone
(508) 833-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X 203553 MA Primary

Addresses

Primary practice location

11 Jillson Way
East Sandwich, MA 02537-1265

Mailing address

11 Jillson Way
East Sandwich, MA 02537-1265
Phone (508) 833-1652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1467774356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JILLSON WAY",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371265",
            "telephone_number": "508-833-1652",
            "fax_number": "774-413-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JILLSON WAY",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371265",
            "telephone_number": "508-833-1652",
            "fax_number": "774-413-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLBEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "ACKLAND",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-833-1652",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP, CNS"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "203553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.