The Merrimack Valley Young Men'S Christian Association, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE MERRIMACK VALLEY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Practice address

165 Haverhill St
Andover, MA 01810-1508

Phone

(978) 685-3541

Fax

(978) 685-0126

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Gary Morelli

Title

Chief Executive Officer

Phone

(978) 725-6681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1194274068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AMESBURY ST",
            "address_2": "4TH FLOOR",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401323",
            "telephone_number": "978-725-6681",
            "fax_number": "978-681-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101508",
            "telephone_number": "978-685-3541",
            "fax_number": "978-685-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MERRIMACK VALLEY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "MORELLI",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "978-725-6681"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Angela Tenbroek, R.N.
• Michael J Terlizzi, MD
• Paresh K Thakkar, M.D.
• The Delicate Rose PLLC
• The Dunham Group LLC
• Mackenzie Thompson
• Susan Ashby Toleos, L.M.H.C
• Gail L Torkildsen, M.D.
• Caribel Torres
• Town of Andover

• Health Educator in Andover, MA
• Providers in Andover, MA by specialty
• Health Educator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.