INSTRIDE HEALTH MA PC – NPI #1124791439
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

INSTRIDE HEALTH MA PC is an AHC clinic located in WELLESLEY HILLS, MA. NPPES has assigned the NPI number 1124791439 to INSTRIDE HEALTH MA PC on August 01, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ETUDE HEALTH MA PC. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 4 years ago on Oct 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INSTRIDE HEALTH MA PC below.

NPI Profile for
INSTRIDE HEALTH MA PC

NPI Number
1124791439
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INSTRIDE HEALTH MA PC
Former Legal Business Name: ETUDE HEALTH MA PC
Primary location
396 WASHINGTON ST # 266
WELLESLEY HILLS, MA 02481-6209
Phone: (855) 438-8331 Fax:
3 Other location(s):
67 Burnside Ave
Hartford, CT 06108-3408
Phone: (855) 438-8331
Fax: (617) 928-8649
2 1/2 Beacon St
Concord, NH 03301-4447
Phone: (855) 438-8331
Fax: (617) 928-8649
450 Veterans Memorial Pkwy Ste 7A
East Providence, RI 02914-5315
Phone: (855) 438-8331
Fax: (617) 928-8649
Mailing address
5 LOCKE LN
LEXINGTON, MA 02420-2706
Phone: (615) 424-3398 Fax:
Organization Subpart
No
Authorized Official
MONA POTTER
CHIEF MEDICAL OFFICER
Phone: (615) 424-3398
Updated
Certification Date
Oct 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.