WISTERIA HEALTH LLC
NPI 1649025123
Community/Behavioral Health in Pittsfield, MA

Active since April 18, 2024
82 WENDELL AVE STE 100, PITTSFIELD, MA 01201(617) 903-7770 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wisteria Health Llc NPPES

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

WISTERIA HEALTH LLC (NPI 1649025123) is a healthcare organization registered as a community/behavioral health in Pittsfield, Massachusetts and active in the NPI registry since April 2024. The organization lists Ethan Slabaugh, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1649025123
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWISTERIA HEALTH LLC
Location Address82 WENDELL AVE STE 100Pittsfield, MA 01201-7066
Mailing Address82 Wendell Ave Ste 100Pittsfield, MA 01201-7066
Organization SubpartNo
Authorized OfficialEthan SlabaughNurse Practitioner · (617) 903-7770
Enumeration DateApril 18, 2024
NPPES CertifiedApril 15, 2024
NPI 1649025123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
82 WENDELL AVE STE 100, Pittsfield, MA 01201

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Counselor (Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Community/Behavioral Health
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Behavior Analyst
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner (Primary Care)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner (Psychiatric/Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
In Home Supportive Care
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201

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 Wisteria Health LLC's NPI number?

The NPI number for Wisteria Health LLC is 1649025123. It was assigned to this organization in the NPPES registry on April 18, 2024.

Where is Wisteria Health LLC located?

Wisteria Health LLC is located at 82 Wendell Ave Ste 100, Pittsfield, MA 01201. The listed phone number is (617) 903-7770.

What is Wisteria Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Wisteria Health LLC was last updated on April 18, 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.