Active NPI
Mind Full Center for Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Norton, MA
National Provider Identifier
1962297796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MIND FULL CENTER FOR WELLNESS, LLC
- Practice address
- 306 Taunton Ave
Norton, MA 02766-3504 - Phone
- (508) 470-9783
- Fax
- (508) 231-9020
- NPI assigned
- Apr 11, 2025
- Last updated
- Jul 27, 2026
- 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
- Dawn Marie Decosta, PMHNP-BC
- Title
- Owner
- Phone
- (603) 391-2392
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
306 Taunton Ave
Norton, MA 02766-3504
Mailing address
306 Taunton Ave
Norton, MA 02766-3504
Phone (508) 470-9783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
792 S Main St
Ste 102
Mansfield, MA 02048
Phone (508) 470-9783
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Norton, MA
- NPI 1619355260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1962297796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 TAUNTON AVE",
"city": "NORTON",
"state": "MA",
"postal_code": "027663504",
"telephone_number": "508-470-9783",
"fax_number": "508-231-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 TAUNTON AVE",
"city": "NORTON",
"state": "MA",
"postal_code": "027663504",
"telephone_number": "508-470-9783",
"fax_number": "508-231-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND FULL CENTER FOR WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-11",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "DECOSTA",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-391-2392",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.