Organization Active NPI

Peace of Mind Wellness, Inc.

  • Psychiatry Physician
  • Fairhaven, MA
National Provider Identifier
1780319046
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PEACE OF MIND WELLNESS, INC.
Practice address
78 Middle St Ste 1
Fairhaven, MA 02719-3050
Phone
(774) 320-4141
Fax
(888) 334-5830
NPI assigned
Jul 20, 2022
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Katie Ann Brown, PMHNPNPI 1962054593
Title
Owner/Pmhnp
Phone
(774) 320-4141

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 Physician 2084P0800X NU Primary

Addresses

Primary practice location

78 Middle St Ste 1
Fairhaven, MA 02719-3050

Mailing address

78 Middle St Ste 1
Fairhaven, MA 02719-3050
Phone (774) 320-4141

National Provider Directory

National Provider Directory

Locations

78 Middle St
#1
Fairhaven, MA 02719
Phone (774) 320-4141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1780319046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MIDDLE ST STE 1",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193050",
            "telephone_number": "774-320-4141",
            "fax_number": "888-334-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MIDDLE ST STE 1",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193050",
            "telephone_number": "774-320-4141",
            "fax_number": "888-334-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PMHNP",
        "authorized_official_telephone_number": "774-320-4141",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.