Active NPI
Me Myself & Mind
- Psychiatric/Mental Health Registered Nurse
- Peabody, MA
National Provider Identifier
1023999604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- Legal business name
- ME MYSELF & MIND
- Practice address
- 9 Centennial Dr Ste 219
Peabody, MA 01960-7939 - Phone
- (617) 500-3513
- Fax
- (617) 500-3513
- NPI assigned
- Sep 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Seryna Desir
- Title
- Administrator
- Phone
- (781) 580-0371
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | Primary |
Addresses
Primary practice location
9 Centennial Dr Ste 219
Peabody, MA 01960-7939
Mailing address
9 Centennial Dr FL 2
Suite 219
Peabody, MA 01960-7939
Phone (617) 500-3513
Other practice location 1
859 Willard St Ste 400
Quincy, MA 02169-7469
Phone (617) 500-3513
Other practice location 2
40 Shattuck Rd Ste 228
Andover, MA 01810-2459
Phone (617) 500-3513
National Provider Directory
National Provider DirectoryLocations
40 Shattuck Rd
Ste 228
Andover, MA 01810
Phone (617) 500-3513
9 Centennial Dr
Ste 219
Peabody, MA 01960
Phone (617) 500-3513
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Peabody, MA
- NPI 1669110912
-
- Psychiatric/Mental Health Nurse Practitioner
- Brighton, MA
- NPI 1073148540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1023999604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CENTENNIAL DR FL 2",
"address_2": "SUITE 219",
"city": "PEABODY",
"state": "MA",
"postal_code": "019607939",
"telephone_number": "617-500-3513",
"fax_number": "617-500-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CENTENNIAL DR STE 219",
"city": "PEABODY",
"state": "MA",
"postal_code": "019607939",
"telephone_number": "617-500-3513",
"fax_number": "617-500-3513"
}
],
"practiceLocations": [
{
"address_1": "859 Willard St Ste 400",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021697469",
"country_code": "US",
"telephone_number": "617-500-3513",
"fax_number": "617-500-3513",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 Shattuck Rd Ste 228",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "MA",
"postal_code": "018102459",
"country_code": "US",
"telephone_number": "617-500-3513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ME MYSELF & MIND",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-10",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A",
"authorized_official_last_name": "DESIR",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "SERYNA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "781-580-0371"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.