MODERN MENTALITY VENTURES, PLLC
NPI 1366292864
Nurse Practitioner - Psychiatric/Mental Health in Marshfield, MA

Active since March 26, 2024CLIA 22D2317797 · Waiver
892 PLAIN ST STE 1, MARSHFIELD, MA 02050(781) 803-7757 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Mentality Ventures, Pllc NPPES

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

MODERN MENTALITY VENTURES, PLLC (NPI 1366292864) is a healthcare organization registered as a psychiatric/mental health in Marshfield, Massachusetts and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists James Kennedy, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366292864
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMODERN MENTALITY VENTURES, PLLC
Location Address892 PLAIN ST STE 1Marshfield, MA 02050-2191
Mailing Address892 Plain St Ste 1Marshfield, MA 02050-2191
Organization SubpartNo
Authorized OfficialJames KennedyNurse Practitioner · (781) 803-7757
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
NPI 1366292864 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
892 PLAIN ST STE 1, Marshfield, MA 02050

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 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 22D2317797

Modern Mentality · Duxbury, MA
Active · expires Jan 30, 2027
CLIA Number22D2317797
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorJames M. Kennedy
Laboratory Phone(781) 803-7757
Laboratory LocationModern Mentality95 Tremont St Suite 2, Duxbury, MA 02332
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
892 PLAIN ST STE 1
MARSHFIELD, MA 02050

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 Modern Mentality Ventures, PLLC's NPI number?

The NPI number for Modern Mentality Ventures, PLLC is 1366292864. It was assigned to this organization in the NPPES registry on March 26, 2024.

Where is Modern Mentality Ventures, PLLC located?

Modern Mentality Ventures, PLLC is located at 892 Plain St Ste 1, Marshfield, MA 02050. The listed phone number is (781) 803-7757.

What is Modern Mentality Ventures, PLLC's specialty?

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

Does Modern Mentality Ventures, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2317797) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modern Mentality Ventures, PLLC was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.