Northline Wellness Center PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NORTHLINE WELLNESS CENTER PLLC

Practice address

163 Highland Ave # 1268
Needham Heights, MA 02494-3025

Phone

(540) 429-1903

NPI assigned

Sep 7, 2026

Organization subpart

No

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

Authorized official

Name

Beatrice A Azah, PMHNP-BC

Title

Owner/Pmhnp-BC

Phone

(540) 429-1903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1558270207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HIGHLAND AVE # 1268",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024943025",
            "telephone_number": "540-429-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HIGHLAND AVE # 1268",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024943025",
            "telephone_number": "540-429-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLINE WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "AZAH",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PMHNP-BC",
        "authorized_official_telephone_number": "540-429-1903",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Mitchell
• Laleh Montaser Kouhsari, M.D.
• Sarah Moore-Ede, PMHNP-BC, RN-BC
• Heather Neal, BCBA
• Michael R Needre, MS
• Yongliang Ouyang
• Patty Rais-Keeley Rd, LDN, Cde, LLC
• Patricia Rais-Keeley, R.D., L.D.N
• Nolan B Reese, RD
• Riverside Early Intervention

• Psychiatry Physician in Needham Heights, MA
• Providers in Needham Heights, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.