NPIMap

Organization Active NPI

CH MH Services Ma, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Peabody, MA
National Provider Identifier
1083593024
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CH MH SERVICES MA, LLC
Practice address
1R Newbury St Ste 309
Peabody, MA 01960-3816
Phone
(406) 219-7835
NPI assigned
Sep 2, 2025
Organization subpart
Yes
Parent organization
CHARLIE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Charie Bryant
Title
VP, RCM
Phone
(803) 955-6655

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1R Newbury St Ste 309
Peabody, MA 01960-3816

Mailing address

169 Madison Ave Ste 15011
New York, NY 10016-5101
Phone (986) 206-0414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217000324 MA Part B Supplier - Clinic/Group Practice 0042705105 Receives reassigned benefits from 4 practitioners
Practice locations: Peabody, MA

National Provider Directory

National Provider Directory
Part of
CH MH Services la LLC

Locations

1R Newbury St
Ste 309
Peabody, MA 01960

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1083593024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15011",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "986-206-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 309",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "406-219-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH MH SERVICES MA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLIE HEALTH",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CHARIE",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "803-955-6655"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children 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 Nov 14, 2025; 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.