Organization Active NPI

LW Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, MA
National Provider Identifier
1952823130
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2260842 Issued in MA
Legal business name
LW PSYCHIATRIC SERVICES PLLC
Practice address
58 Medford St Ofc 3
Arlington, MA 02474-3124
Phone
(339) 707-0460
NPI assigned
Jul 10, 2017
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Lisa Watras Wright, PMHNP-BCNPI 1811226426
Title
Owner, Sole Proprieter
Phone
(339) 707-0460

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2260842 MA Primary

Addresses

Primary practice location

58 Medford St Ofc 3
Arlington, MA 02474-3124

Mailing address

58 Medford St Ofc 3
Arlington, MA 02474-3124
Phone (339) 707-0460

National Provider Directory

National Provider Directory

Locations

58 Medford St
Ofc 3
Arlington, MA 02474
Phone (339) 707-0460

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": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1952823130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MEDFORD ST OFC 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743124",
            "telephone_number": "339-707-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MEDFORD ST OFC 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743124",
            "telephone_number": "339-707-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LW PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "WATRAS WRIGHT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER, SOLE PROPRIETER",
        "authorized_official_telephone_number": "339-707-0460",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2260842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.