Active NPI
Nader Mental Health Servicesllc
- Adult Mental Health Clinic/Center
- Mansfield, MA
National Provider Identifier
1336696343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 244643
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110088992A | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI 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.