NORTHEAST BEHAVIORAL HEALTH CORPORATION (NPI# 1770957862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770957862 |
| Entity Type | Organization |
| Organization Name | NORTHEAST BEHAVIORAL HEALTH CORPORATION |
| Practice Address |
199 Rosewood Dr Suite 250 Danvers MA 01923-1398 |
| Practice Telephone | 9789681700 |
| Mailing Telephone | 9789681700 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | KEVIN P NORTON (CEO) |
| Authorized Official Telephone | 9789681701 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302586 | Northeast Behavioral Health Corporation | Clinic/Center | 800 Cummings Center, Suite 266t, Beverly, MA 01915-6172 | 2005-11-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST BEHAVIORAL HEALTH CORPORATION | 199 Rosewood Dr Ste 250, Danvers, MA 01923-1388 |
| Street Address |
199 ROSEWOOD DR SUITE 250 |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255756987 | Damien Jamall Huggins | Counselor | 199 Rosewood Dr, Suite 250, Danvers, MA 01923-1398 | 2014-03-05 |
| 1942834387 | Selienette Hernandez | Counselor | 199 Rosewood Dr, Danvers, MA 01923-1398 | 2020-02-25 |
| 1639716269 | Maeve Kathleen Sullivan | Social Worker | 199 Rosewood Dr, Danvers, MA 01923-1398 | 2019-12-02 |
| 1154858892 | Scott Anderson | Case Manager/Care Coordinator | 199 Rosewood Dr, Danvers, MA 01923-1398 | 2017-05-12 |
| 1295279768 | Brittany Schissler | Community Health Worker | 199 Rosewood Dr, Danvers, MA 01923-1398 | 2016-12-18 |
| 1528502960 | Luisa M Jimenez | Counselor | 199 Rosewood Dr, Danvers, MA 01923-1398 | 2016-12-05 |
| 1841748514 | Beth Lacroix | Counselor | 199 Rosewood Dr, Danvers, MA 01923-1398 | 2016-09-12 |
| 1073963161 | Jessica Hunkler | Social Worker | 199 Rosewood Dr, Suite 250, Danvers, MA 01923-1398 | 2016-06-20 |
| 1033569744 | Johanna Rodriguez | Case Manager/Care Coordinator | 199 Rosewood Dr, Danvers, MA 01923-1398 | 2016-06-14 |
| 1780033944 | Angelina Mauro-conrad | Social Worker | 199 Rosewood Dr, Suite 210, Danvers, MA 01923-1398 | 2016-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| 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 |
|---|---|---|---|---|
| 1912030917 | Northeast Arc, Inc. | Community/Behavioral Health | 64 Holten Street, Danvers, MA 01923-1973 | 2007-03-13 |
| 1346615523 | Northeast Arc | Community/Behavioral Health | 6 Southside Rd, Danvers, MA 01923 | 2015-12-14 |
| 1699170407 | Eliot Community Human Services | Community/Behavioral Health | 10 Harbor St, Danvers, MA 01923-3390 | 2014-10-23 |
| 1801298898 | Northeast Arc Inc | Community/Behavioral Health | 6 Southside Rd, Danvers, MA 01923-1409 | 2014-09-22 |
| 1821438201 | Northeast Arc Inc | Community/Behavioral Health | 6 Southside Rd, Danvers, MA 01923-1409 | 2013-06-28 |
| 1063765337 | Department of Developemental Services | Community/Behavioral Health | 450 Maple St, Danvers, MA 01923-4009 | 2012-10-23 |
| 1629376538 | Northeast Arc, Inc. | Community/Behavioral Health | 64 Holten St, Danvers, MA 01923-1973 | 2011-03-02 |
| 1497058309 | Catholic Chaities | Community/Behavioral Health | 140 Commonwealth Ave, Danvers, MA 01923-3629 | 2010-12-15 |
| 1417270380 | Catholic Charities | Community/Behavioral Health | 152 Sylvan St, Danvers, MA 01923-3558 | 2010-03-08 |
| 1174735740 | Neuroadvance, Inc | Community/Behavioral Health | 130 Centre St, Danvers, MA 01923-1400 | 2007-05-04 |
| Find all providers in DANVERS | ||||
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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.