Amy Kade

Individual provider Active NPI Mental Health Counselor · Malden, MA

NPI 1215464441 · NPPES record last updated Apr 23, 2018

Key facts

NPI
1215464441
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
22 Pleasant St # 2000
Malden, MA 02148-5119
Phone
(781) 851-2648
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Mental Health Past Accepting new patients
South Bay Mental Health Center, Inc. Past
since Oct 1, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

22 Pleasant St # 2000
Malden, MA 02148-5119

Mailing address

35 Congress St
Salem, MA 01970
Phone (978) 542-1951

Other practice location 1

35 Congress St Ste 214
Salem, MA 01970-7312
Phone (978) 542-1951

Other providers in Malden, MA

All providers in Malden, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.