The Beverly Center, P.C.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

THE BEVERLY CENTER, P.C.

Practice address

100 Cummings Center
Beverly, MA 01915-6113

Phone

(978) 922-6613

Fax

(978) 921-1094

NPI assigned

Feb 24, 2006

Last updated

Aug 22, 2020By 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

Dr. George Ivan Beilin, ED.DNPI 1043286669

Title

President

Phone

(978) 922-6613

Specialties & licenses 1

Addresses

Other names 1

• Beverly Center, P.C. Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 7

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.

• George Ivan Beilin, ED.D

  • Clinical Psychologist
  • Beverly, MA
  • NPI 1043286669
  Medicare reassignment NPD Authorized official
• Stephanie L. Beililn, LICSW

  • Mental Health Counselor
  • Beverly, MA
  • NPI 1962582916
  NPD (past)
• Kristen M Homan, LICSW

  • Social Worker
  • Salem, MA
  • NPI 1750467726
  NPD (past)
• Evan Keith Margetson, LICSW

  • Addiction (Substance Use Disorder) Counselor
  • Beverly, MA
  • NPI 1457436404
  NPD (past)
• Maura F McGrane, MD

  • Specialist
  • Beverly, MA
  • NPI 1114926193
  NPD (past)
• Jeanne Marie McKeon, EDD

  • Psychologist
  • Beverly, MA
  • NPI 1689649568
  NPD (past)
• Adriana Lucia Gutierrez, PH.D.

  • Forensic Psychologist
  • San Houston, TX
  • NPI 1154593598

  Clinical Child & Adolescent

  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275509663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156113",
            "telephone_number": "978-922-6613",
            "fax_number": "978-921-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156113",
            "telephone_number": "978-922-6613",
            "fax_number": "978-921-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEVERLY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEILIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-6613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Center, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tricia Mary Terpolilli, LICSW
• Therasa L. Terrazzano, LICSW
• Deborah Tetrault, M.ED.
• Ariel Tetreault, BCBA
• The Artful Life Counseling Center and Studio
• The Freedom Wellness Group, Inc (Elements Therapeutic Massage Beverly)
• The Verbal ABA Clinic, LLC (Speech Therapy Group)
• Therapy for Intentional Living, Inc.
• Therapy From the Heart
• Savannah Lyvonne Theriault, BT

• Clinical Child & Adolescent Psychologist in Beverly, MA
• Providers in Beverly, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.