DEARBORN WELLNESS, LLC
NPI 1316398852
Clinic/Center - Adult Mental Health in Quincy, MA

Active since June 27, 2016
1266 FURNACE BROOK PKWY STE 307, QUINCY, MA 02169(857) 288-8508(888) 262-9456 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2017, Jun 27, 2016 (2 updates tracked since 2016).

About Dearborn Wellness, Llc NPPES

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

DEARBORN WELLNESS, LLC (NPI 1316398852) is a healthcare organization registered as an adult mental health in Quincy, Massachusetts and active in the NPI registry since June 2016. The organization lists Katherine King, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1316398852
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameDEARBORN WELLNESS, LLC
Location Address1266 FURNACE BROOK PKWY STE 307Quincy, MA 02169-4789
Mailing Address1266 Furnace Brook Pkwy Ste 307Quincy, MA 02169-4789 · (857) 288-8508 · Fax (888) 262-9456
Fax(888) 262-9456
Organization SubpartNo
Authorized OfficialKatherine KingPsychologist · (857) 288-8508
Enumeration DateJune 27, 2016
Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1316398852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in MA · 9599
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
1266 FURNACE BROOK PKWY STE 307, Quincy, MA 02169

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dearborn Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dearborn Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1912142902
1266 FURNACE BROOK PKWY STE 307
Quincy, MA 02169
(857) 288-8508
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dearborn Wellness, LLC's NPI number?

The NPI number for Dearborn Wellness, LLC is 1316398852. It was assigned to this organization in the NPPES registry on June 27, 2016.

Where is Dearborn Wellness, LLC located?

Dearborn Wellness, LLC is located at 1266 Furnace Brook Pkwy Ste 307, Quincy, MA 02169. The listed phone number is (857) 288-8508.

What is Dearborn Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Dearborn Wellness, LLC enrolled in Medicare?

Yes. Dearborn Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dearborn Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dearborn Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dearborn Wellness, LLC was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.