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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1018562OtherCIGNA BEHAVIORAL HEALTH
306079OtherMANAGED HEALTH NETWORK
1010500OtherBEACON HEALTH STRATEGIES
W10410OtherBCBS PSYCH
42682OtherMAGELLON BEHAVIORAL HLTH
614070OtherTUFTS HEALTH PLAN
CP0025OtherBCBS RNCS
1102303MedicaidMA
111038OtherBEHAVIORAL HEALTH NETWORK
M16842OtherBLUE CROSS BLUE SHIELD

Other names

  • Family Associates Of Merrimack Valley Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2025.

{
    "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"
        }
    ]
}

Other providers in Chelmsford, MA

All providers in Chelmsford, MA · Adolescent and Children Mental Health Clinic/Center in Massachusetts

Sources for this page

Verify at the official NPI Registry.