VITALITY WELL MENTAL HEALTH PROVIDERS INC
NPI 1497586788
Nurse Practitioner - Psychiatric/Mental Health in Dedham, MA

Active since August 09, 2024
3 ALLIED DR STE 311, DEDHAM, MA 02026(857) 437-8574 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vitality Well Mental Health Providers Inc NPPES

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

VITALITY WELL MENTAL HEALTH PROVIDERS INC (NPI 1497586788) is a healthcare organization registered as a psychiatric/mental health in Dedham, Massachusetts and active in the NPI registry since August 2024. The organization lists Grace Mbawuike, Owner, as its authorized official.

NPPES Registry Identity

NPI1497586788
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVITALITY WELL MENTAL HEALTH PROVIDERS INC
Location Address3 ALLIED DR STE 311Dedham, MA 02026-6148
Mailing Address3 Allied Dr Ste 311Dedham, MA 02026-6148
Organization SubpartNo
Authorized OfficialGrace MbawuikeOwner · (857) 437-8574
Enumeration DateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1497586788 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
3 ALLIED DR STE 311, Dedham, MA 02026

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Well Mental Health Providers Inc 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 Vitality Well Mental Health Providers Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1679229447
10 PINEWOOD ST
Boston, MA 02136
(857) 719-5983
✔ PECOS✔ Accepts Medicare6.8 mi

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 Vitality Well Mental Health Providers Inc's NPI number?

The NPI number for Vitality Well Mental Health Providers Inc is 1497586788. It was assigned to this organization in the NPPES registry on August 9, 2024.

Where is Vitality Well Mental Health Providers Inc located?

Vitality Well Mental Health Providers Inc is located at 3 Allied Dr Ste 311, Dedham, MA 02026. The listed phone number is (857) 437-8574.

What is Vitality Well Mental Health Providers Inc's specialty?

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

Is Vitality Well Mental Health Providers Inc enrolled in Medicare?

Yes. Vitality Well Mental Health Providers Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Well Mental Health Providers Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitality Well Mental Health Providers Inc. 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 Vitality Well Mental Health Providers Inc was last updated on August 9, 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.