NPIMap

Organization Active NPI

New England Center for Mental Health LLC

  • Mental Health Counselor
  • Acton, MA
National Provider Identifier
1346560083
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW ENGLAND CENTER FOR MENTAL HEALTH LLC
Practice address
289 Great Road
Suite G1
Acton, MA 01720
Phone
(978) 679-1200
Fax
(978) 486-4037
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Madhavi Kamireddi, M.D.NPI 1255313466
Title
Medical Director/Owner
Phone
(978) 679-1200

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

289 Great Road
Suite G1
Acton, MA 01720

Mailing address

289 Great Road
Suite G1
Acton, MA 01720
Phone (978) 679-1200

Other identifiers 1

IdentifierTypeStateIssuer
020860MedicaidMA

Other names 1

  • New England Center for Mental Healthy Minds Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000525 MA Part B Supplier - Clinic/Group Practice 7315126554 Receives reassigned benefits from 27 practitioners
Practice locations: Acton, MA; Teaticket, MA; Walpole, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2009169New England Center for Mental Health289 Great Road Ste G1, Acton, MA 01720Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
New England Center for Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

289 Great Rd
Acton, MA 01720
Phone (978) 679-1200

119 Russell St
#30
Littleton, MA 01460
Phone (978) 577-0454

178 Teaticket Hwy
Ste 4
Teaticket, MA 02536
Phone (978) 679-1200

1600 Providence Hwy
#145
Walpole, MA 02081
Phone (978) 679-1200

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1346560083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 GREAT ROAD",
            "address_2": "SUITE G1",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "01720",
            "telephone_number": "978-679-1200",
            "fax_number": "978-486-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 GREAT ROAD",
            "address_2": "SUITE G1",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "01720",
            "telephone_number": "978-679-1200",
            "fax_number": "978-486-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CENTER FOR MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "KAMIREDDI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "978-679-1200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020860",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Center for Mental Healthy Minds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.