NPIMap

Organization Active NPI

Insight Center for Behavioral Health

  • Adult Mental Health Clinic/Center
  • Lowell, MA
National Provider Identifier
1104463546
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INSIGHT CENTER FOR BEHAVIORAL HEALTH
Practice address
321 Central St Ste 102
Lowell, MA 01852-2692
Phone
(978) 598-3802
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Efrain Talavera, MS, CADAC, LADCNPI 1831654946
Title
Owner / Counselor
Phone
(978) 893-8684

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

321 Central St Ste 102
Lowell, MA 01852-2692

Mailing address

618 Ames Hill Dr
Tewksbury, MA 01876-1165
Phone (978) 893-8684

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address etalavera_icbh@outlook.com

National Provider Directory

National Provider Directory

Locations

321 Central St
Ste 102
Lowell, MA 01852
Phone (978) 598-3802

Practitioners & affiliated clinicians

Practitioners 1

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": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1104463546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 AMES HILL DR",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761165",
            "telephone_number": "978-893-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CENTRAL ST STE 102",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522692",
            "telephone_number": "978-598-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT CENTER FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "TALAVERA",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_title_or_position": "OWNER / COUNSELOR",
        "authorized_official_telephone_number": "978-893-8684",
        "authorized_official_credential": "MS, CADAC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etalavera_icbh@outlook.com",
            "affiliation": "N",
            "address_1": "618 Ames Hill Dr",
            "city": "Tewksbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018761165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.