Saint Gemma Health and Wellness Center Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SAINT GEMMA HEALTH AND WELLNESS CENTER INC.

Practice address

C/O Mary Fallavollita
375 Main St.
Haverhill, MA 01830

Phone

(978) 518-0674

Fax

(978) 658-5728

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Fallavollita, MS M.ED, LMHC

Title

President (Board President)

Phone

(978) 518-0674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1275171753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O MARY FALLAVOLLITA",
            "address_2": "375 MAIN ST.",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-518-0674",
            "fax_number": "978-658-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O MARY FALLAVOLLITA",
            "address_2": "375 MAIN ST.",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-518-0674",
            "fax_number": "978-658-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT GEMMA HEALTH AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "FALLAVOLLITA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT (BOARD PRESIDENT)",
        "authorized_official_telephone_number": "978-518-0674",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS M.ED, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Rusk, MA
• Erica M Russell, ARNP, CNM
• Sharyn W Russell, LICSW
• Judith Ryan, MED
• Susan Ryan, SPEECH THERAPIST
• Lynne Sales
• Joseph E Salgado, M.ED., LADC II
• Monica Salgado
• Maureen Saliba, ATC, CSCS
• Lynne Williams Sallet, SCHOOL BASED CLINICI

• Adult Mental Health Clinic/Center in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.