Organization Active NPI

Partnership in Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Brookline, MA
National Provider Identifier
1487367686
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PARTNERSHIP IN WELLNESS, LLC
Practice address
124 Harvard St Ste 4
Brookline, MA 02446-6439
Phone
(617) 522-6611
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Ms. Beth Ann Rontal, LICSWNPI 1467699348
Title
Owner, Psychotherapist
Phone
(617) 522-6611

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

124 Harvard St Ste 4
Brookline, MA 02446-6439

Mailing address

42 Southbourne Rd
Jamaica Plain, MA 02130-4633
Phone (617) 522-6611

Other practice location 1

42 Southbourne Rd
Jamaica Plain, MA 02130-4633
Phone (617) 522-6111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230322001148 MA Part B Supplier - Clinic/Group Practice 0840664439 Receives reassigned benefits from 1 practitioner
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory

Locations

124 Harvard St
Ste 4
Brookline, MA 02446
Phone (617) 522-6611

Practitioners & affiliated clinicians

Practitioners 1

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": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1487367686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SOUTHBOURNE RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304633",
            "telephone_number": "617-522-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HARVARD ST STE 4",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466439",
            "telephone_number": "617-522-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Southbourne Rd",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021304633",
            "country_code": "US",
            "telephone_number": "617-522-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARTNERSHIP IN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "RONTAL",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "617-522-6611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.