Organization Active NPI

Victorias Estate Inc.

  • Group Psychotherapy Psychologist
  • North Andover, MA
National Provider Identifier
1063285682
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
VICTORIAS ESTATE INC.
Practice address
869 Turnpike St Unit 212
North Andover, MA 01845-6151
Phone
(978) 495-1420
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chloe CameronNPI 1710610548
Title
Owner/Pmhnp
Phone
(978) 495-1420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

869 Turnpike St Unit 212
North Andover, MA 01845-6151

Mailing address

869 Turnpike St Unit 212
North Andover, MA 01845-6151

Other names 1

  • North Andover Behavioral Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007000250 MA Part B Supplier - Clinic/Group Practice 0042741761 Receives reassigned benefits from 1 practitioner
Practice locations: North Andover, MA

National Provider Directory

National Provider Directory

Locations

869 Turnpike St
Unit 210212
North Andover, MA 01845
Phone (978) 234-8911

869 Turnpike St
Unit 212
North Andover, MA 01845
Phone (978) 495-1420

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1063285682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 TURNPIKE ST UNIT 212",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 TURNPIKE ST UNIT 212",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456151",
            "telephone_number": "978-495-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAS ESTATE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "OWNER/PMHNP",
        "authorized_official_telephone_number": "978-495-1420"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Andover Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Andover Behavioral Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "North Andover Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.