Associates of Merrimack Valley Inc
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Chelmsford, MA
NPI 1174536809 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1174536809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- ASSOCIATES OF MERRIMACK VALLEY INC
- Practice address
- 201 Chelmsford St
Chelmsford, MA 01824 - Phone
- (978) 256-1467
- Fax
- (978) 256-7465
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Joel Siegel, LICSW
- Title
- President Coowner Codirector
- Phone
- (978) 256-1467
Practitioners 4
-
Kira P Furtado, LICSW
-
Cathlyn M Hill, MSW LICSW
-
Judith D Powsner, LICSW, LADC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040527001248 | MA | Part B Supplier - Clinic/Group Practice | 6406837103 |
Receives reassigned benefits from 3 practitioners Practice locations: Chelmsford, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
201 Chelmsford St
Chelmsford, MA 01824
Mailing address
201 Chelmsford St
Chelmsford, MA 01824
Phone (978) 256-1467
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018562 | Other | CIGNA BEHAVIORAL HEALTH | |
| 306079 | Other | MANAGED HEALTH NETWORK | |
| 1010500 | Other | BEACON HEALTH STRATEGIES | |
| W10410 | Other | BCBS PSYCH | |
| 42682 | Other | MAGELLON BEHAVIORAL HLTH | |
| 614070 | Other | TUFTS HEALTH PLAN | |
| CP0025 | Other | BCBS RNCS | |
| 1102303 | Medicaid | MA | |
| 111038 | Other | BEHAVIORAL HEALTH NETWORK | |
| M16842 | Other | BLUE CROSS BLUE SHIELD |
Other names
- Family Associates Of Merrimack Valley
NPI Registry JSON
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1174536809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CHELMSFORD ST",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "01824",
"telephone_number": "978-256-1467",
"fax_number": "978-256-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CHELMSFORD ST",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "01824",
"telephone_number": "978-256-1467",
"fax_number": "978-256-7465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES OF MERRIMACK VALLEY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SIEGEL",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT COOWNER CODIRECTOR",
"authorized_official_telephone_number": "978-256-1467",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1018562",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "306079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1010500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PSYCH",
"identifier": "W10410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLON BEHAVIORAL HLTH",
"identifier": "42682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "614070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RNCS",
"identifier": "CP0025",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1102303",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH NETWORK",
"identifier": "111038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M16842",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Associates Of Merrimack Valley",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.