PSYCHIATRIC WELLNESS CENTER (NPI# 1295274694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295274694 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC WELLNESS CENTER |
| Practice Address |
15 Constitution Dr Suite 1a Bedford NH 03110-6042 |
| Practice Telephone | 6033105027 |
| Practice Fax Number | 6032186187 |
| Mailing Telephone | 6033105027 |
| Mailing Fax Number | 6032186187 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | AMANDA SADAT (OWNER) |
| Authorized Official Telephone | 6033105027 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
07497723 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
07484923 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15 CONSTITUTION DR SUITE 1A |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425641 | Stephen D. Elgert | Family Medicine | 15 Constitution Dr, Elliot Family Medicine At Bedford Village, Bedford, NH 03110-6042 | 2005-05-27 |
| 1154933323 | Eminence Home Care LLC | In Home Supportive Care | 15 Constitution Dr, Bedford, NH 03110-6042 | 2020-08-19 |
| 1245859529 | Orbit Transportation | Non-emergency Medical Transport (VAN) | 15 Constitution Dr, Bedford, NH 03110-6042 | 2020-04-15 |
| 1558916932 | Katherine Sarah Abbott | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-08-02 |
| 1568014447 | Imoleayo O Abass | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-07-11 |
| 1649839721 | Samantha Dean Arsenault | Behavioral Analyst | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-06-11 |
| 1427615657 | Darlene Rose Gianatasio | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-05-22 |
| 1790241909 | Madison Taylor | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-02-12 |
| 1225519515 | Kristine Head | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2018-08-24 |
| 1770027286 | Aware Recovery Care Inc | Counselor | 15 Constitution Dr, Suite 2n, Bedford, NH 03110-6042 | 2016-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154752483 | Joanne Hartmann Villegas | Nurse Practitioner | 25181 Columbus Rd, Bedford, OH 44146-2540 | 2013-12-12 |
| 1528234705 | Meredith Mccoy Hake | Nurse Practitioner | 1604 Hospital Pkwy Ste 507, Bedford, TX 76022-6933 | 2008-05-07 |
| 1326007683 | Rebekah Turner Reddel | Nurse Practitioner | 172 Route 101, Unit 26, Bedford, NH 03110-5416 | 2006-03-23 |
| 1083221006 | Ikechi Alex Ikechi Sr. | Nurse Practitioner | 2717 Tibbets Dr, Bedford, TX 76022-6914 | 2020-09-24 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1417576554 | Mark Waksmonski | Nurse Practitioner | 12 Mudge Way, Bedford, MA 01730-2147 | 2020-04-09 |
| 1386122612 | Kerri Josephine Keeler | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2018-07-30 |
| 1619323623 | Carrie Long | Nurse Practitioner | 2125 16th St, Bedford, IN 47421-3003 | 2016-05-09 |
| 1003288960 | Valeria Dworkowitz | Nurse Practitioner | 55 North Rd Ste 220, Bedford, MA 01730-1078 | 2015-10-30 |
| 1942634985 | Rebekah Turner Reddel Aprn, LLC | Nurse Practitioner | 172 Route 101, Unit 26, Bedford, NH 03110-5416 | 2013-08-27 |
| Find all providers in BEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.