Organization Active NPI

Nader Mental Health Servicesllc

  • Adult Mental Health Clinic/Center
  • Mansfield, MA
National Provider Identifier
1336696343
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
244643 Issued in MA
Legal business name
NADER MENTAL HEALTH SERVICESLLC
Practice address
14 Claire Ave
Mansfield, MA 02048-2042
Phone
(774) 826-6765
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Jihad Bassam Nader, M.D.
Title
Ceo
Phone
(774) 826-6765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 244643 MA Primary

Addresses

Primary practice location

14 Claire Ave
Mansfield, MA 02048-2042

Mailing address

14 Claire Ave
Mansfield, MA 02048-2042
Phone (774) 826-6765

Other identifiers 1

IdentifierTypeStateIssuer
110088992AMedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1336696343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CLAIRE AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482042",
            "telephone_number": "774-826-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CLAIRE AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482042",
            "telephone_number": "774-826-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER MENTAL HEALTH SERVICESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "NADER",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_middle_name": "BASSAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-826-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "244643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088992A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.