Provider Demographics
NPI:1750027249
Name:PSYCH WELLNESS GROUP, INC.
Entity Type:Organization
Organization Name:PSYCH WELLNESS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:R
Authorized Official - Last Name:VETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-454-5949
Mailing Address - Street 1:771 BOSTON POST RD E STE 11
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3759
Mailing Address - Country:US
Mailing Address - Phone:413-454-5949
Mailing Address - Fax:413-642-6078
Practice Address - Street 1:15 SUSAN DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085
Practice Address - Country:US
Practice Address - Phone:413-454-5949
Practice Address - Fax:413-642-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty