Organization Active NPI

Mental Health Plus LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1316589385
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTAL HEALTH PLUS LLC
Practice address
100 Cummings Ctr Ste 325K
Beverly, MA 01915-6119
Phone
(617) 838-0254
Fax
(978) 969-6198
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Marinelle Garraud, PMHNP-FNPNPI 1528461340
Title
Adminstrator
Phone
(978) 720-8934

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 325K
Beverly, MA 01915-6119

Mailing address

100 Cummings Ctr Ste 325K
Beverly, MA 01915-6119
Phone (978) 720-8934

Other identifiers 1

IdentifierTypeStateIssuer
1528461340MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191212001166 MA Part B Supplier - Clinic/Group Practice 6709219363 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly, MA

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 325K
Beverly, MA 01915
Phone (617) 838-0254

20 W Emerson St
Lowr
Melrose, MA 02176
Phone (617) 852-2446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1316589385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 325K",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156119",
            "telephone_number": "978-720-8934",
            "fax_number": "978-969-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 325K",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156119",
            "telephone_number": "617-838-0254",
            "fax_number": "978-969-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "GARRAUD",
        "authorized_official_first_name": "MARINELLE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "978-720-8934",
        "authorized_official_credential": "PMHNP-FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528461340",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.