Psych Wellness Group, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PSYCH WELLNESS GROUP, INC.

Practice address

15 Susan Dr
Westfield, MA 01085

Phone

(413) 454-5949

Fax

(413) 642-6078

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy R Veto

Title

President

Phone

(413) 454-5949

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26450/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne L Martin, LICSW

  • Social Worker
  • Ludlow, MA
  • NPI 1194712067
  Medicare reassignment NPD
• Sarah Louise Clayton, LICSW

  • Social Worker
  • Ludlow, MA
  • NPI 1942297957
  NPD
• Malia Weber-Parker

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlborough, MA
  • NPI 1548725559
  NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1750027249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 BOSTON POST RD E STE 11",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523759",
            "telephone_number": "413-454-5949",
            "fax_number": "413-642-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SUSAN DR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01085",
            "telephone_number": "413-454-5949",
            "fax_number": "413-642-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH WELLNESS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "VETO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-454-5949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Medicine and Pediatrics LLC
• Heather Prouty
• Danielle K Provost, PT
• Katelyn Provost, BA
• Monica Ann Przybyla
• Aleksandr D Pugach, MD
• Beata Adela Puri, M.D.
• Svetlana Puzankov, PAC
• Pete Daniel Pyrzanowski-Charland, LICSW
• Jennifer Quaglini, LPN

• Nurse Practitioner in Westfield, MA
• Providers in Westfield, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.