NPIMap

Organization Active NPI

Wellspring Mentors LLC

  • Community/Behavioral Health Agency
  • West Roxbury, MA
National Provider Identifier
1518511765
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLSPRING MENTORS LLC
Practice address
2075 Centre St
West Roxbury, MA 02132-3313
Phone
(617) 516-4761
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Ms. Melanie Robinson Findlay, LICSW, CCHP-MH, CCF
Title
Executive Clinical Director
Phone
(617) 516-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2075 Centre St
West Roxbury, MA 02132-3313

Mailing address

22 Elmore St Apt 1
Roxbury, MA 02119-3624
Phone (617) 516-4761

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chrisconroy@direct.practicefusion.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1518511765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ELMORE ST APT 1",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193624",
            "telephone_number": "617-516-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323313",
            "telephone_number": "617-516-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING MENTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "ROBINSON FINDLAY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "617-516-4761",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW, CCHP-MH, CCF"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chrisconroy@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2075 Centre St",
            "city": "West Roxbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021323313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.