Organization Active NPI

Olaemek Health and Wellness Services LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Boston, MA
National Provider Identifier
1740076124
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
OLAEMEK HEALTH AND WELLNESS SERVICES LLC
Doing business as
Olaemek Health and Wellness Services LLC
Practice address
44 School St Ste 505
Boston, MA 02108-4221
Phone
(617) 756-8310
Fax
(617) 756-8310
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Kemealo Diane Moussatcha, PMHNPNPI 1245833805
Title
Psychiatric Nurse Practitioner
Phone
(617) 756-8310

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
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

44 School St Ste 505
Boston, MA 02108-4221

Mailing address

44 School St Ste 505
Boston, MA 02108-4221
Phone (857) 206-1553

Other practice location 1

32 Taylor St
Malden, MA 02148-8019
Phone (617) 756-8310

Other names 1

  • Olaemek Health and Wellness Services LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, CT, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20260318001860 VT Part B Supplier - Clinic/Group Practice 5698259638 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester Center, VT
O20260324003947 CT Part B Supplier - Clinic/Group Practice 5698259638 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT
O20260618002811 NH Part B Supplier - Clinic/Group Practice 5698259638 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, NH

National Provider Directory

National Provider Directory

Locations

44 School St
Boston, MA 02108
Phone (617) 756-8310

360 Route 101
Ste 13C
Bedford, NH 03110

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": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1740076124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SCHOOL ST STE 505",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084221",
            "telephone_number": "857-206-1553",
            "fax_number": "781-605-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SCHOOL ST STE 505",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084221",
            "telephone_number": "617-756-8310",
            "fax_number": "617-756-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Taylor St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021488019",
            "country_code": "US",
            "telephone_number": "617-756-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLAEMEK HEALTH AND WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "MOUSSATCHA",
        "authorized_official_first_name": "KEMEALO",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-756-8310",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olaemek Health and Wellness Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.