NORTHEAST ARC, INC. (NPI# 1912030917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912030917 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARC, INC. |
| Other Organization Name | NORTH SHORE ASSOC FOR RETARDED CITIZENS INC |
| Practice Address |
64 Holten Street Danvers MA 01923-1973 |
| Practice Telephone | 9787624878 |
| Practice Fax Number | 9787776149 |
| Mailing Telephone | 9787624878 |
| Mailing Fax Number | 9787776149 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | MR. GARY PENNIMAN (CFO) |
| Authorized Official Telephone | 9786242445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MERRIDIAN DAY HABILITATIO | 1311522 | 01 |
| MA | CORNERSTONE DAY HABILITAT | 1311263 | 01 |
| MA | FAMILY SUPPORT EARLY INTE | 1802984 | 01 |
| MA | CAPE ANN EARLY INTERVENTI | 1801686 | 01 |
| MA | ADULT FOSTER CARE | 1906577 | 01 |
| MA | PCA PAYROLL | 1999826 | 01 |
| MA | FI ADMINISTRATION | 1990250 | 01 |
| Other Name | Type Code |
|---|---|
| North Shore Assoc For Retarded Citizens Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427205202 | Northeast Arc, Inc. | Day Training, Developmentally Disabled Services | 22 Foster St, Peabody, MA 01960-5506 | 2008-08-22 |
| 1942424692 | Northeast Arc, Inc. | Case Management | 64 Holten St, Danvers, MA 01923-1973 | 2007-04-12 |
| 1629376538 | Northeast Arc, Inc. | Community/Behavioral Health | 64 Holten St, Danvers, MA 01923-1973 | 2011-03-02 |
| 1548458243 | Northeast Arc, Inc. | Clinic/Center | 64 Holten St, Danvers, MA 01923-1973 | 2007-10-09 |
| 1649480351 | Northeast Arc, Inc. | Day Training, Developmentally Disabled Services | 64 Holten St, Danvers, MA 01923-1973 | 2007-05-23 |
| 1871702266 | Northeast Arc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 64 Holten St, Danvers, MA 01923-1973 | 2007-05-22 |
| 1992920417 | Northeast Arc, Inc. | Community/Behavioral Health | 64 Holten St, Danvers, MA 01923-1973 | 2007-04-17 |
| 1598980005 | Northeast Arc, Inc. | Day Training, Developmentally Disabled Services | 64 Holten St, Danvers, MA 01923-1973 | 2007-04-17 |
| Street Address |
64 HOLTEN STREET |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982881835 | Mathew Lambert | Behavioral Analyst | 64 Holten Street, Danvers, MA 01923 | 2008-01-23 |
| 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 |
|---|---|---|---|---|
| 1346615523 | Northeast Arc | Community/Behavioral Health | 6 Southside Rd, Danvers, MA 01923 | 2015-12-14 |
| 1770957862 | Northeast Behavioral Health Corporation | Community/Behavioral Health | 199 Rosewood Dr, Suite 250, Danvers, MA 01923-1398 | 2015-11-30 |
| 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.