INSTRIDE HEALTH MA PC NPI 1124791439

NPI Information

  • NPI: 1124791439
  • Provider Name: INSTRIDE HEALTH MA PC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: ETUDE HEALTH MA PC
  • Address: 396 WASHINGTON ST # 266
    WELLESLEY HILLS, MA
    ZIP 02481
  • Phone: (855) 438-8331

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NPI Details

INSTRIDE HEALTH MA PC is an adolescent and children mental health clinic center in Wellesley Hills, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. INSTRIDE HEALTH MA PC NPI is 1124791439. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Etude Health Ma Pc.

The provider's business location address is:

396 WASHINGTON ST # 266
WELLESLEY HILLS, MA
ZIP 02481-209
Phone: (855) 438-8331

The provider's authorized official is Mona Potter .
The authorized official title is Chief Medical Officer and has the following contact phone number (615) 424-3398.

The enumeration date for this NPI number is 8/1/2021 and was last updated on 10/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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