Organization Active NPI

Wayne Ethier

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1750216669
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WAYNE ETHIER
Practice address
867 Boylston St
5TH Floor
Boston, MA 02116
Phone
(508) 422-0404
Fax
(857) 578-1200
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Wayne T Ethier, PMHNP-BCNPI 1992095798
Title
Owner
Phone
(508) 422-0404

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

867 Boylston St
5TH Floor
Boston, MA 02116

Mailing address

PO Box 880981
Port St Lucie, FL 34988-0981
Phone (508) 422-0404

Other practice location 1

1860 SW Fountainview Blvd
Port St Lucie, FL 34986-4535
Phone (561) 954-5151

Other names 1

  • Harbor Wellness Doing business as

National Provider Directory

National Provider Directory

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": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1750216669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880981",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349880981",
            "telephone_number": "508-422-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST",
            "address_2": "5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "508-422-0404",
            "fax_number": "857-578-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 SW Fountainview Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349864535",
            "country_code": "US",
            "telephone_number": "561-954-5151",
            "fax_number": "857-578-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAYNE ETHIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "ETHIER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-422-0404",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Wellness",
            "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 Jun 15, 2026; 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.