NORTH SHORE MEDICAL CENTER (NPI# 1326442450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326442450 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE MEDICAL CENTER |
| Practice Address |
55 Highland Ave Salem MA 01970-2185 |
| Practice Telephone | 9787411200 |
| Mailing Telephone | 9787411200 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | JOSEPH DIPIETRO (DIRECTOR OUTPATIENT MENTAL HEALTH) |
| Authorized Official Telephone | 9787444033 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1020601 | MA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568771616 | North Shore Medical Center | General Acute Care Hospital | 81 Highland Ave, Palliative Care Dept, Salem, MA 01970-2714 | 2010-10-06 |
| 1396951406 | North Shore Medical Center | Family Medicine | 2490 Oka St, Kilauea, HI 96754-5332 | 2007-05-15 |
| 1467678433 | North Shore Medical Center | General Acute Care Hospital | 81 Highland Ave, Salem, MA 01970-2714 | 2007-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NORTH SHORE MEDICAL CENTER, INC. | 81 Highland Avenue, Salem, MA 01970 |
| Street Address |
55 HIGHLAND AVE |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243698 | Neil S. Shore | Internal Medicine | 55 Highland Ave, Ste 104, Salem, MA 01970-2100 | 2005-05-31 |
| 1578178224 | Jane Paar | Student in an Organized Health Care Education/Training Program | 55 Highland Ave, Salem, MA 01970-2185 | 2020-09-10 |
| 1578173308 | Sadira Persaud | Counselor | 55 Highland Ave, Salem, MA 01970-2185 | 2020-08-06 |
| 1104325422 | Sarah Leva | Social Worker | 55 Highland Ave, Salem, MA 01970-2185 | 2018-02-02 |
| 1275044315 | Mary Kathleen Rand | Nurse Practitioner | 55 Highland Ave, Salem, MA 01970-2185 | 2017-10-17 |
| 1538687868 | Ashlee Helen Goulette | Nurse Practitioner | 55 Highland Ave, Salem, MA 01970-2185 | 2017-09-07 |
| 1134674674 | Julia Moskowitz | Psychologist | 55 Highland Ave, Suite 201, Salem, MA 01970-2185 | 2016-08-24 |
| 1023486990 | Antoine M Salvador | Student in an Organized Health Care Education/Training Program | 55 Highland Ave, Highland Hall, Salem, MA 01970-2185 | 2015-09-09 |
| 1376927772 | Elizabeth Forrest | Psychologist | 55 Highland Ave, Salem, MA 01970-2185 | 2015-07-15 |
| 1174924104 | Chalini Jayasekera | Psychologist | 55 Highland Ave, Salem, MA 01970-2185 | 2014-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| 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. |
| Notes: [7/1/2003: new] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.