NPIMap

Organization Active NPI

Salem State University

  • Student Health Clinic/Center
  • Salem, MA
National Provider Identifier
1255671558
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SALEM STATE UNIVERSITY
Practice address
352 Lafayette St
Counseling and Health Services
Salem, MA 01970-5348
Phone
(978) 542-6410
Fax
(978) 542-7121
NPI assigned
Feb 22, 2013
Organization subpart
Yes
Parent organization
COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Mrs. Kimberly L Daly, NPNPI 1881645380
Title
Associate Director
Phone
(978) 542-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

352 Lafayette St
Counseling and Health Services
Salem, MA 01970-5348

Mailing address

352 Lafayette St
Counseling and Health Services
Salem, MA 01970-5348
Phone (978) 542-6410

Other identifiers 4

IdentifierTypeStateIssuer
80840-1174679898OtherMANPI
80840-1881645380OtherMANPI
80840-1124068663OtherMANPI
80840-1801835392OtherMANPI

Other names 1

  • Counseling and Health Services Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2054308Salem State University Health Services352 Lafayette Street, Salem, MA 01970Provider-performed microscopyFeb 18, 2027

National Provider Directory

National Provider Directory

Locations

352 Lafayette St
Salem, MA 01970
Phone (978) 542-6000

352 Lafayette St
Ste 107
Salem, MA 01970
Phone (978) 542-6413

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1255671558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 LAFAYETTE ST",
            "address_2": "COUNSELING AND HEALTH SERVICES",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705348",
            "telephone_number": "978-542-6410",
            "fax_number": "978-542-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 LAFAYETTE ST",
            "address_2": "COUNSELING AND HEALTH SERVICES",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705348",
            "telephone_number": "978-542-6410",
            "fax_number": "978-542-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "978-542-6410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "80840-1174679898",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "80840-1881645380",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "80840-1124068663",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "80840-1801835392",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling and Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.