NORTHEAST BEHAVIORAL HEALTH (NPI# 1356603740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356603740 |
| Entity Type | Organization |
| Organization Name | NORTHEAST BEHAVIORAL HEALTH |
| Practice Address |
27 Congress St Salem MA 01970-7309 |
| Practice Telephone | 9787458890 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | PAULA SHEVENELL (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9787401533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134462310 | Northeast Behavioral Health | Social Worker | 41 Mason St, 4, Salem, MA 01970-2260 | 2013-04-05 |
| 1316202625 | Northeast Behavioral Health | Substance Abuse Rehabilitation Facility | 111 Middleton Rd, Danvers, MA 01923-4000 | 2012-07-12 |
| 1982967741 | Northeast Behavioral Health | Community/Behavioral Health | 12 Methuen St, #2, Lawrence, MA 01840-1700 | 2012-06-18 |
| 1750654315 | Northeast Behavioral Health | Clinic/Center | 60 Merrimack St, Haverhill, MA 01830-6207 | 2012-02-13 |
| 1487939054 | Northeast Behavioral Health | Community/Behavioral Health | 60 Merrimack St, Haverhill, MA 01830-6207 | 2011-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NORTHEAST BEHAVIORAL HEALTH ASSOCIATES, INC. | 145 Faunce Corner Rd., Ste K, No. Dartmouth, MA 02747 |
| System for Award Management (SAM) Entities | NORTHEAST BEHAVIORAL HEALTH CORPORATION | 199 Rosewood Dr Ste 250, Danvers, MA 01923-1388 |
| Street Address |
27 CONGRESS ST |
| City | SALEM |
| State | MA |
| Zip Code | 01970-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801984422 | Alan W Mallas | Counselor | 27 Congress St, Salem, MA 01970-7309 | 2006-10-10 |
| 1386194934 | Melynda Corbett | Social Worker | 27 Congress St, Suite 504, Salem, MA 01970-7309 | 2016-10-06 |
| 1578968178 | Msr Home Care | Home Health | 27 Congress St, Suite 305-10, Salem, MA 01970-7309 | 2014-10-27 |
| 1427399286 | Sarah C Weston Licsw | Social Worker | 27 Congress St, Ste. 305-6, Salem, MA 01970-7309 | 2013-03-04 |
| 1043563265 | Frank James Canillas | Counselor | 27 Congress St, Salem, MA 01970-7309 | 2012-10-25 |
| 1568724938 | Kristen Boffo | Counselor | 27 Congress St, Suite 105, Salem, MA 01970-7309 | 2012-06-12 |
| 1841586427 | Janet Green Garrison | Counselor | 27 Congress St, Salem, MA 01970-7309 | 2011-06-22 |
| 1114213600 | Cab Salem | Community/Behavioral Health | 27 Congress St, Salem, MA 01970-7309 | 2011-06-22 |
| 1487950317 | Janelle T Kramer | Counselor | 27 Congress St, Salem, MA 01970-7309 | 2011-02-10 |
| 1619280658 | Constance Maria Boris | Counselor | 27 Congress St, Salem, MA 01970-7309 | 2010-07-20 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037962 | Reflective Being LLC | Clinic/Center | 19 Front St Ste 205, Salem, MA 01970-3795 | 2019-11-12 |
| 1770555096 | Richard P. Leggett Md PC | Clinic/Center | 1914 Braeburn Dr, Salem, VA 24153-7304 | 2006-02-02 |
| 1427691922 | Anchored In Hope Trauma Therapy LLC | Clinic/Center | 960 Broadway St Ne Ste 3, Salem, OR 97301-1275 | 2019-10-28 |
| 1023664786 | Sarah Masciave | Clinic/Center | 35 Congress St Ste 2, Salem, MA 01970-5567 | 2019-08-16 |
| 1205300837 | Tabula Rasa Wellness LLC | Clinic/Center | 2105 Liberty St Ne, Salem, OR 97301-8353 | 2019-01-16 |
| 1457845182 | Axis Psychiatric Services, LLC | Clinic/Center | 1249 Fairview Ave Se, Salem, OR 97302-2534 | 2018-06-16 |
| 1962990952 | Ocean Gem Psychological Care, Pllc | Clinic/Center | 57 Highland Ave Fl 4, Salem, MA 01970-2141 | 2018-04-25 |
| 1669704805 | Pacific Coast Clinic Salem LLC | Clinic/Center | 1249 Fairview Ave Se, Salem, OR 97302-2534 | 2010-02-11 |
| 1497932982 | Karen E Grisham Rn Mn PC | Clinic/Center | 1845 Commercial St Se, Salem, OR 97302-5203 | 2008-01-27 |
| 1699804088 | Arbor Counseling, Inc. | Clinic/Center | 2659 Commercial St Se, Suite 200, Salem, OR 97302-4496 | 2007-03-03 |
| Find all providers in SALEM | ||||
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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.