Provider Demographics
NPI:1093453649
Name:NEW JOURNEY PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:NEW JOURNEY PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNP
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:978-407-4057
Mailing Address - Street 1:78 WHITING ST
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1451
Mailing Address - Country:US
Mailing Address - Phone:978-407-4057
Mailing Address - Fax:
Practice Address - Street 1:370 MAIN ST STE 203C
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MA
Practice Address - Zip Code:01474-1052
Practice Address - Country:US
Practice Address - Phone:508-887-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty