Safe Harbor Behavioral Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAFE HARBOR BEHAVIORAL HEALTH

Practice address

11-15 Parker St
Gloucester, MA 01930-3017

Phone

(978) 968-0708

NPI assigned

Sep 24, 2025

Last updated

Oct 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brendan James Fullerton

Title

Program Director

Phone

(978) 578-6435

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1124991500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-15 PARKER ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-15 PARKER ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303017",
            "telephone_number": "978-968-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "978-578-6435"
    },
    "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": []
}

• Emily Rubin, LICSW
• Kevin Ross Rubnich, D.M.D.
• Allison Rebecca Rugg
• Elizabeth Michele Russell
• Robert Anthony Russo, D.M.D.
• Safe Harbor Counseling of the North Shore
• Richard J. Sagall, M.D.
• Cathy Ellen Salciccia, MS CCC SLP
• Kristen M Salines-Bradlee, LICSW
• Roger E Salisbury, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.