Organization Active NPI

Northwood Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shrewsbury, MA
National Provider Identifier
1114117983
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHWOOD BEHAVIORAL HEALTHCARE, INC.
Practice address
512 W Main St
Suite 11
Shrewsbury, MA 01545-6405
Phone
(508) 845-0100
Fax
(508) 845-0400
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Imad M. Khreim, MDNPI 1104842731
Title
Medical Director
Phone
(508) 615-4191

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

512 W Main St
Suite 11
Shrewsbury, MA 01545-6405

Mailing address

512 W Main St
Suite 11
Shrewsbury, MA 01545-6405
Phone (508) 845-0100

National Provider Directory

National Provider Directory

Locations

512 Main St
Ste 11
Shrewsbury, MA 01545
Phone (508) 845-0100

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": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1114117983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "address_2": "SUITE 11",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456405",
            "telephone_number": "508-845-0100",
            "fax_number": "508-845-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "address_2": "SUITE 11",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456405",
            "telephone_number": "508-845-0100",
            "fax_number": "508-845-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "KHREIM",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-615-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.