North Shore Psychiatry Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11358 Issued in MA

Legal business name

NORTH SHORE PSYCHIATRY CENTER

Practice address

500 Cummings Ctr
Suite 5350
Beverly, MA 01915-6142

Phone

(978) 922-8600

Fax

(978) 922-8601

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey A Bucci, MD

Title

Child&Adolescent Med. Dir

Phone

(978) 922-8600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1407113624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CENTER",
            "address_2": "SUITE 5350",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156105",
            "telephone_number": "978-922-8600",
            "fax_number": "978-922-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR",
            "address_2": "SUITE 5350",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156142",
            "telephone_number": "978-922-8600",
            "fax_number": "978-922-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PSYCHIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHILD&ADOLESCENT MED. DIR",
        "authorized_official_telephone_number": "978-922-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "11358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Pain Management, LLC
• North Shore Pain Management, LLC
• North Shore Pain Treatment LLC
• North Shore Pediatric Dental Associates
• North Shore Preventive Health Care, P.C.
• North Shore Retina PLLC
• North Shore Urological Assoc., Inc
• North Shore Vascular, P.C.
• North Shore Wellness Institute PC
• North Suburban Hospitalists

• Clinical Social Worker in Beverly, MA
• Providers in Beverly, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.