Merrimack Valley ABA Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MERRIMACK VALLEY ABA SERVICES INC

Practice address

599 Canal Street
5TH FL East Suite 15-16
Lawrence, MA 01840-1245

Phone

(978) 980-0466

Fax

(978) 983-0467

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Stephen K AddisonNPI 1801916051

Title

President

Phone

(978) 208-9034

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MERRIMACK VALLEY ABA THERAPY SERVICES INC Former legal business name

Electronic endpoints 1

Practitioners 1

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

• Stephen Addison, LICSW

  • Clinical Social Worker
  • Lawrence, MA
  • NPI 1801916051
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1366041550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 CANAL STREET",
            "address_2": "5TH FL EAST SUITE 15-16",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-983-0466",
            "fax_number": "978-983-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 CANAL STREET",
            "address_2": "5TH FL EAST SUITE 15-16",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401245",
            "telephone_number": "978-980-0466",
            "fax_number": "978-983-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY ABA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-208-9034"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS CERTIFICATE IDENTIFICATION NUMBER",
            "identifier": "001465731",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS REGISTRATION CERTIFICATE NUMBER",
            "identifier": "001465731",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mvabats.com",
            "affiliation": "N",
            "address_1": "599 Canal St Fl 5",
            "city": "Lawrence",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018401244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MERRIMACK VALLEY ABA THERAPY SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vanessa Judith Mercedes
• Lindsey Mercer, M.S, OTR/L
• Johannah Kathryn Merrill, MD
• Merrimack Medical & Walk in Center, LLC
• Merrimack Medical & Walk in S LLC
• Merrimack Valley Health Services Inc
• Merrimack Valley Orthodontics LLC
• Merrimack Valley Pain Management Associates, P.C.
• Merrimack Valley Pain Management PC
• Merrimack Valley Physical Therapy

• All providers in Lawrence, MA
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.