Organization Active NPI

Mind Full Center for Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norton, MA
National Provider Identifier
1962297796
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Dawn Marie Decosta, PMHNP-BCNPI 1619355260
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251007001427 MA Part B Supplier - Clinic/Group Practice 4486151529 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, MA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.