NORTHEAST BEHAVIORAL HEALTH (NPI# 1487939054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487939054 |
Entity Type | Organization |
Organization Name | NORTHEAST BEHAVIORAL HEALTH |
Practice Address |
60 Merrimack St Haverhill MA 01830-6207 |
Practice Telephone | 9783731126 |
Practice Fax Number | 9785217783 |
Enumeration Date | 2011-10-14 |
Last Update Date | 2016-04-27 |
Authorized Official Name | RONALD AARON KRUEGER (CLINICIAN) |
Authorized Official Telephone | 9783731126 |
Authorized Official Credential | MA |
Is Organization Subpart | Y |
Parent Organization Name | NORTHEAST BEHAVIORAL HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1154302586 | 05 |
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 |
1356603740 | Northeast Behavioral Health | Clinic/Center | 27 Congress St, Salem, MA 01970-7309 | 2012-06-12 |
1750654315 | Northeast Behavioral Health | Clinic/Center | 60 Merrimack St, Haverhill, MA 01830-6207 | 2012-02-13 |
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 |
60 MERRIMACK ST |
City | HAVERHILL |
State | MA |
Zip Code | 01830-6207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073548566 | Susan Anora Farid | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2006-07-12 |
1871966689 | Shannon Tambur | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2015-11-03 |
1790178101 | Kelly Perry | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2015-03-09 |
1023416450 | Kerry Woodilla | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-12-17 |
1942603071 | Erika Avery | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-10-03 |
1912312562 | Ashley Serpa | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-06-23 |
1942613617 | Marion Mello | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-06-10 |
1679985600 | Tanya Lynne Farrar | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-05-26 |
1023420353 | Ryan Paradise | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-05-21 |
1356751275 | Meghan Van Vliet | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
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Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083748230 | Team Coordinating Agency, Inc. | Community/Behavioral Health | 76 Winter St, Haverhill, MA 01830-5760 | 2007-03-16 |
1578001046 | Matthew Lunden | Community/Behavioral Health | 54 Winter St, Haverhill, MA 01830-5760 | 2017-02-06 |
1285188425 | Lahey Health Behavioral Services | Community/Behavioral Health | 6 Concordia Dr, Haverhill, MA 01830-2062 | 2016-08-04 |
1306268644 | Margaret Cesati | Community/Behavioral Health | 116 Summer St, Haverhill, MA 01830-6032 | 2014-01-06 |
1184053886 | Lahey Health Behavioral Services | Community/Behavioral Health | 60 Merrimack St, Haverhill, MA 01830-6207 | 2013-11-04 |
1699072488 | Health & Education Services | Community/Behavioral Health | 60 Merrimack St, Haverhill, MA 01830-6207 | 2011-02-15 |
1689909137 | Recovery Solutions and Wellness | Community/Behavioral Health | 76 Summer St, Haverhill, MA 01830-5814 | 2009-10-15 |
1972627420 | Hri Clinics, Inc. | Community/Behavioral Health | 116 Summer St, Haverhill, MA 01830-6032 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
1316544455 | Barbara J Doyle Counseling Services Professional LLC | Community/Behavioral Health | 20 Hope Ave Ste 107, Waltham, MA 02453-2717 | 2020-10-01 |
1013524917 | Leonid G Zolotnitskiy Md PC | Community/Behavioral Health | 1853 Commonwealth Ave Ste 1, Brighton, MA 02135-5498 | 2020-09-25 |
1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
1972118719 | Jose Alfredo Lugo-estrada | Community/Behavioral Health | 484 Bedford St Unit 2, East Bridgewater, MA 02333-1908 | 2020-09-09 |
1992318927 | Jessie Odegard Pllc | Community/Behavioral Health | 144 Sudbury Rd, Weston, MA 02493-1351 | 2020-08-28 |
1750994109 | Summit Community Services, LLC | Community/Behavioral Health | 214 Exchange St, Millis, MA 02054-1277 | 2020-08-26 |
1013527860 | Tara Goldberg | Community/Behavioral Health | 21 Wilson Ave, Northampton, MA 01060-3813 | 2020-08-06 |
1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
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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.