Mindful Waves

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDFUL WAVES

Practice address

60 Island St Ste 103
Lawrence, MA 01840-1835

Phone

(978) 885-9444

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Marlene ReyesNPI 1619379351

Title

Owner

Phone

(978) 885-9444

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Marlene Reyes

  • Counseling Psychologist
  • Lawrence, MA
  • NPI 1619379351
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1891415261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ISLAND ST STE 103",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401835",
            "telephone_number": "978-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ISLAND ST STE 103",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401835",
            "telephone_number": "978-885-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WAVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-885-9444"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "groupsupport@mindfulwaves.org",
            "affiliation": "N",
            "address_1": "60 Island St Ste 103",
            "city": "Lawrence",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018401835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Plum Miller, LICSW
• Robert A Miller, MD
• Samantha Miller
• Vladan P Milosavljevic, M.D.
• Dana Lee Milton, MA
• Maria V Minkova
• Alicia Mitchell, NP
• Elizabeth Ann Mitchell, MA LMHC
• Emily Hedrick Mitchell, LICSW
• Kathleen Mitchell, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.