Provider Demographics
NPI:1609577550
Name:EMPOWERED PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:EMPOWERED PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC-PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:774-290-4175
Mailing Address - Street 1:275 GROVE ST.
Mailing Address - Street 2:SUITE 2-400
Mailing Address - City:NEWTON, MA
Mailing Address - State:MA
Mailing Address - Zip Code:02466
Mailing Address - Country:US
Mailing Address - Phone:774-290-4175
Mailing Address - Fax:
Practice Address - Street 1:275 GROVE ST.
Practice Address - Street 2:SUITE 2-400 #4031
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02466
Practice Address - Country:US
Practice Address - Phone:774-290-4175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty