Organization
NORTHEAST MEDICAL GROUP, INC.
Active
Other names
Northeast Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SACHIN B PATEL MD (PRESIDENT)
(978) 710-4242
Entity
Organization
Contact information
Practice address
275 VARNUM AVE STE 108, LOWELL, MA 01854-2117
(978) 710-4242
(978) 710-4202
Mailing address
275 VARNUM AVE STE 108, LOWELL, MA 01854-2117
(978) 710-4242
(978) 710-4202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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