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PREEYAVATA WANAPUN
NPI 1689955668
Counselor - Mental Health in Randolph, MA

Active since September 02, 2011
41 PACELLA PARK DR, RANDOLPH, MA 02368(781) 440-0400 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Preeyavata Wanapun NPPES

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

PREEYAVATA WANAPUN (NPI 1689955668) is an individual mental health provider in Randolph, Massachusetts and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1689955668
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePREEYAVATA WANAPUN
Location Address41 PACELLA PARK DRRandolph, MA 02368-1755
Mailing Address41 Pacella Park DrRandolph, MA 02368-1755 · (781) 440-0400
Phone(781) 440-0400
Sole ProprietorNo
Enumeration DateSeptember 2, 2011
✔ NPI 1689955668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
41 PACELLA PARK DR, Randolph, MA 02368
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Other Identifiers 1

Medicaid110026265MA

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.

CHAD RYAN MASTERS
Counselor (Professional)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
DR. LESLIE KJOSA SUTRO PH.D.
Psychologist (Clinical Child & Adolescent)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1250
KRISTA G CANON BCBA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
HEATHER L FULLER-GIURLANDO BCABA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
MARY E CURRAN BCABA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
MS. NICHOLE M WEAKLEY MS
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
MR. STEPHEN P KILGUS MA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
NICOLE GRUBE-BENSON M.ED., BCBA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400

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 Preeyavata Wanapun's NPI number?

The NPI number for Preeyavata Wanapun is 1689955668. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Preeyavata Wanapun located?

Preeyavata Wanapun practices at 41 Pacella Park Dr, Randolph, MA 02368. The listed phone number is (781) 440-0400.

What is Preeyavata Wanapun's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Preeyavata Wanapun was last updated on September 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.