Organization Active NPI

Awaken Mind Center LLC

  • Psychiatry Physician
  • Braintree, MA
National Provider Identifier
1699520247
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AWAKEN MIND CENTER LLC
Practice address
500 Grossman Dr # 1132
Braintree, MA 02184-4967
Phone
(860) 595-6116
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Asma Rashid, MDNPI 1154515286
Title
President
Phone
(860) 595-6116

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

500 Grossman Dr # 1132
Braintree, MA 02184-4967

Mailing address

500 Grossman Dr # 1132
Braintree, MA 02184-4967

National Provider Directory

National Provider Directory

Locations

500 Grossman Dr
#1132
Braintree, MA 02184
Phone (860) 595-6116

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": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1699520247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROSSMAN DR # 1132",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GROSSMAN DR # 1132",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844967",
            "telephone_number": "860-595-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN MIND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-595-6116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.