NORTHEAST BEHAVIORAL HEALTH (NPI# 1750654315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750654315 |
| Entity Type | Organization |
| Organization Name | NORTHEAST BEHAVIORAL HEALTH |
| Practice Address |
60 Merrimack St Haverhill MA 01830-6207 |
| Practice Telephone | 9783731126 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | LESLIE BALOGNA (INTERN) |
| Authorized Official Telephone | 9783731126 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891348371 | Thrive Hive Wellness LLC | Clinic/Center | 143 Essex St # 202, Haverhill, MA 01832-5553 | 2019-07-23 |
| 1952742033 | Team Coordinating Agency | Clinic/Center | 76 Winter St, Haverhill, MA 01830-5760 | 2013-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356513 | Betterment Counseling | Clinic/Center | 556 Centre St Ste A, Middleboro, MA 02346-2162 | 2020-11-04 |
| 1962001651 | Mindful Matters LLC | Clinic/Center | 12 Jarvis Ln, North Attleboro, MA 02760-4313 | 2020-10-22 |
| 1497353130 | Handel Behavioral Health Services | Clinic/Center | 2 Master Dr Ste 1a, Franklin, MA 02038-3052 | 2020-10-14 |
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710597406 | Bridge of Changes | Clinic/Center | 215 Berkshire Ave, Springfield, MA 01109-1638 | 2020-08-06 |
| 1457969297 | Starlight Counseling Services, Inc | Clinic/Center | 50 Elm St Unit D, Southbridge, MA 01550-2648 | 2020-07-17 |
| 1386262053 | 1a Wellness, LLC | Clinic/Center | 225 Main St Ste 4, Wenham, MA 01984-1459 | 2020-07-09 |
| 1528683596 | Aviv, LLC | Clinic/Center | 511 Old Fall River Rd, Dartmouth, MA 02747-1208 | 2020-06-15 |
| 1447872130 | Mindset Social Solutions Inc. | Clinic/Center | 79 Regis Rd Apt 1, Mattapan, MA 02126-1743 | 2020-05-15 |
| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHEAST BEHAVIORAL HEALTH.
| 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.