Well Behavioral Health- New England LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WELL BEHAVIORAL HEALTH- NEW ENGLAND LLC

Practice address

800 Turnpike St Ste 300
North Andover, MA 01845-6156

Phone

(978) 296-5595

Fax

(978) 296-5594

NPI assigned

Nov 10, 2023

Organization subpart

No

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

Authorized official

Name

George Mouzakis, LICSW

Title

Executive Director

Phone

(978) 886-2359

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1538933486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 JOHNSON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454721",
            "telephone_number": "978-886-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "978-296-5595",
            "fax_number": "978-296-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BEHAVIORAL HEALTH- NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "MOUZAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-886-2359",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Wedge, MA, LSW, LADC-I
• Alexandria M Weida, ED.D.
• Micah Lorenz Weir, MD
• Jonathan Samuel Weiss, MD
• Meaghan Welch, M.ED, BCBA, LABA
• Danielle West, LICSW
• Judith B West, DPT
• Kathleen Colton Westhead Dennis, DNP
• Rosemarie L. Wetmore, MSW
• Kati Ellen Whitcomb

• Counselor in North Andover, MA
• Providers in North Andover, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.