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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELEVATE WELLNESS CENTER LLC
NPI 1104726959
Nurse Practitioner - Psychiatric/Mental Health in Mattapan, MA

Active since November 06, 2026
42 HALLOWELL ST, MATTAPAN, MA 02126(202) 702-6407 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Elevate Wellness Center Llc NPPES

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

ELEVATE WELLNESS CENTER LLC (NPI 1104726959) is a healthcare organization registered as a psychiatric/mental health in Mattapan, Massachusetts and active in the NPI registry since November 2026. The organization lists Pius Fon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104726959
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameELEVATE WELLNESS CENTER LLC
Location Address42 HALLOWELL STMattapan, MA 02126-1777
Mailing Address42 Hallowell StMattapan, MA 02126-1777 · (202) 702-6407
Phone(202) 702-6407
Organization SubpartNo
Authorized OfficialPius FonCeo · (202) 702-6407
Enumeration DateNovember 6, 2026
NPPES CertifiedNovember 6, 2026
✔ NPI 1104726959 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
42 HALLOWELL ST, Mattapan, MA 02126
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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 2

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

ROSEFAN FAMILY AND BEHAVIORAL HEALTH CENTER LLC
Nurse Practitioner (Psychiatric/Mental Health)
42 HALLOWELL ST
MATTAPAN, MA 02126
Suffolk County (617) 888-0302
MS. ROSEL FORWANG LEWIS NP
Nurse Practitioner (Family)
42 HALLOWELL ST
MATTAPAN, MA 02126
Suffolk County (617) 888-0302

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 Elevate Wellness Center LLC's NPI number?

The NPI number for Elevate Wellness Center LLC is 1104726959. It was assigned to this organization in the NPPES registry on November 6, 2026.

Where is Elevate Wellness Center LLC located?

Elevate Wellness Center LLC is located at 42 Hallowell St, Mattapan, MA 02126. The listed phone number is (202) 702-6407.

What is Elevate Wellness Center 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 Elevate Wellness Center LLC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.