Ehquanimity LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EHQUANIMITY LLC

Practice address

451 Andover St Ste 185
North Andover, MA 01845-5075

Phone

(617) 702-2802

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Erin Hetzel, LICSWNPI 1659566636

Title

Sole Practitioner

Phone

(617) 645-9214

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Erin Hetzel, LICSW Doing business as

Locations

Practitioners 1

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

• Erin Hetzel, LICSW

  • Clinical Social Worker
  • North Andover, MA
  • NPI 1659566636
  NPD Authorized official

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1376213975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PEABODY ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018357613",
            "telephone_number": "617-645-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 185",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455075",
            "telephone_number": "617-702-2802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1093 Beacon St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465623",
            "country_code": "US",
            "telephone_number": "617-702-2802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EHQUANIMITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "HETZEL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SOLE PRACTITIONER",
        "authorized_official_telephone_number": "617-645-9214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659566636",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659566636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erin Hetzel, LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bassam S El-Jamous, DMD, MSD, CAGS

• Community/Behavioral Health Agency in North Andover, MA
• Providers in North Andover, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.