Active NPI
Northwood Behavioral Healthcare, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shrewsbury, MA
National Provider Identifier
1114117983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Imad M. Khreim, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatry Physician
- Palmer, MA
- NPI 1104842731
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.