Active NPI
Lifesong Mental Health & Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Needham, MA
National Provider Identifier
1831880822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LIFESONG MENTAL HEALTH & WELLNESS, LLC
- Practice address
- 163 Highland Ave Ste 1179
Needham, MA 02494-3025 - Phone
- (781) 222-4828
- Fax
- (781) 222-4886
- NPI assigned
- May 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marni Bell Federer, PMHNP-BC, FNP-C
- Title
- Nurse Practitioner/Owner
- Phone
- (770) 548-8807
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
163 Highland Ave Ste 1179
Needham, MA 02494-3025
Mailing address
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Phone (770) 548-8807
National Provider Directory
National Provider DirectoryLocations
163 Highland Ave
Ste 1179
Needham, MA 02494
Phone (781) 222-4828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Peachtree City, GA
- NPI 1841700382
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1831880822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE STE 1200",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777",
"telephone_number": "770-548-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE STE 1179",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025",
"telephone_number": "781-222-4828",
"fax_number": "781-222-4886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESONG MENTAL HEALTH & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "FEDERER",
"authorized_official_first_name": "MARNI",
"authorized_official_middle_name": "BELL",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "770-548-8807",
"authorized_official_credential": "PMHNP-BC, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"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": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.