WISDOM COMMUNITY HEALTH LLC
NPI 1003751850
Nurse Practitioner - Psychiatric/Mental Health in Lowell, MA

Active since April 20, 2026
600 PINE ST, LOWELL, MA 01851(978) 338-7360(978) 797-9682 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wisdom Community Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISDOM COMMUNITY HEALTH LLC (NPI 1003751850) is a healthcare organization registered as a psychiatric/mental health in Lowell, Massachusetts and active in the NPI registry since April 2026. The organization lists Declan Fotoh, Owner, as its authorized official.

NPPES Registry Identity

NPI1003751850
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWISDOM COMMUNITY HEALTH LLC
Location Address600 PINE STLowell, MA 01851-2309
Mailing Address265 Chelmsford St Ste 7Chelmsford, MA 01824-2335 · (978) 338-7360 · Fax (978) 797-9682
Fax(978) 797-9682
Organization SubpartNo
Authorized OfficialDeclan FotohOwner · (978) 338-7360
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1003751850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
600 PINE ST, Lowell, MA 01851

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
600 PINE ST
LOWELL, MA 01851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisdom Community Health LLC's NPI number?

The NPI number for Wisdom Community Health LLC is 1003751850. It was assigned to this organization in the NPPES registry on April 20, 2026.

Where is Wisdom Community Health LLC located?

Wisdom Community Health LLC is located at 600 Pine St, Lowell, MA 01851. The listed phone number is (978) 338-7360.

What is Wisdom Community Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Wisdom Community Health LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.