Provider Demographics
NPI:1841849619
Name:ONE WORLD MENTAL HEALTH LLC
Entity type:Organization
Organization Name:ONE WORLD MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:SA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:774-777-5114
Mailing Address - Street 1:61 LINCOLN ST STE 309
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8264
Mailing Address - Country:US
Mailing Address - Phone:774-777-5114
Mailing Address - Fax:774-777-5114
Practice Address - Street 1:61 LINCOLN ST STE 309
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8264
Practice Address - Country:US
Practice Address - Phone:774-777-5114
Practice Address - Fax:774-777-5114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA881171OtherTUFTS
MA9779291OtherAETNA
MA110149205AMedicaid
MA488453OtherBEACON
MA70010000W08176OtherBCBS