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NORTHEAST MEDICAL GROUP, INC.
NPI 1104575166
Registered Nurse - Psychiatric/Mental Health, Adult in Lowell, MA

Active since March 18, 2022CLIA 22D2007127 · Waiver
275 VARNUM AVE STE 108, LOWELL, MA 01854(978) 710-4242(978) 710-4202 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeast Medical Group, Inc. NPPES

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

NORTHEAST MEDICAL GROUP, INC. (NPI 1104575166), doing business as Northeast Mental Wellness, is a healthcare organization registered as a psychiatric/mental health, adult in Lowell, Massachusetts and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Sachin B Patel, President, as its authorized official.

NPPES Registry Identity

NPI1104575166
Entity TypeOrganization
Primary Taxonomy163WP0809X
Legal Business NameNORTHEAST MEDICAL GROUP, INC.
Location Address275 VARNUM AVE STE 108Lowell, MA 01854-2117
Mailing Address275 Varnum Ave Ste 108Lowell, MA 01854-2117 · (978) 710-4242 · Fax (978) 710-4202
Phone(978) 710-4242
Fax(978) 710-4202
Organization SubpartNo
Authorized OfficialSachin B PatelPresident · (978) 710-4242
Enumeration DateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1104575166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X
275 VARNUM AVE STE 108, Lowell, MA 01854
Open in Google Maps ↗

Other Names 1

Doing Business AsNortheast Mental Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2007127

Northeast Medical Group, Inc · Lowell, MA
Active · expires May 9, 2028
CLIA Number22D2007127
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorSachin B. Patel
Laboratory Phone(978) 703-0054
Laboratory LocationNortheast Medical Group, Inc275 Varnum Ave Ste 108, Lowell, MA 01854
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SHRI SAHAJANAND, INC.
Case Management
275 VARNUM AVE STE 108
LOWELL, MA 01854
Middlesex County (978) 478-0606
SHRI SAHAJANAND, INC.
Home Health
275 VARNUM AVE STE 108
LOWELL, MA 01854
Middlesex County (978) 226-8589
SHRI SAHAJANAND, INC.
Foster Care Agency
275 VARNUM AVE STE 108
LOWELL, MA 01854
Middlesex County (978) 226-8589

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 Northeast Medical Group, Inc.'s NPI number?

The NPI number for Northeast Medical Group, Inc. is 1104575166. It was assigned to this organization in the NPPES registry on March 18, 2022. The provider is doing business as Northeast Mental Wellness.

Where is Northeast Medical Group, Inc. located?

Northeast Medical Group, Inc. is located at 275 Varnum Ave Ste 108, Lowell, MA 01854. The listed phone number is (978) 710-4242.

What is Northeast Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Does Northeast Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2007127) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Medical Group, Inc. was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.