Ernesto Menjivar Santeliz, LADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

181 Union St
'Suite C'
Lynn, MA 01901-1310

Phone

(781) 346-6367

Fax

(781) 346-6369

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306066543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 UNION ST",
            "address_2": "'SUITE C'",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011310",
            "telephone_number": "781-346-6367",
            "fax_number": "781-346-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 UNION ST",
            "address_2": "'SUITE C'",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011310",
            "telephone_number": "781-346-6367",
            "fax_number": "781-346-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELIZ",
        "first_name": "ERNESTO",
        "middle_name": "MENJIVAR",
        "name_prefix": "Mr.",
        "credential": "LADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akram Sannaa
• Sanphy Podiatry Group, Inc.
• Mark Paul Sanphy, DPM
• Josmar Santana Ulloa
• Daglen Carmin Santana
• Leanne Santerre, RN
• Emily Santiago Gob
• Michele Lynn Santiago-Mahoney
• Celimar Santiago
• Mark Anthony Santilli, RN

• Addiction (Substance Use Disorder) Counselor in Lynn, MA
• Providers in Lynn, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.