NPIMap

Organization Active NPI

Commonwealth of Massachusetts

Doing business as Department of Mental Health - Beverly Area Office

  • Case Management Agency
  • Beverly, MA
National Provider Identifier
1407973688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Doing business as
Department of Mental Health - Beverly Area Office
Practice address
180 Cabot St
Beverly, MA 01915-5847
Phone
(978) 232-7300
Fax
(978) 927-4469
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fred Hammdroff
Title
Site Director
Phone
(978) 232-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

180 Cabot St
Beverly, MA 01915-5847

Mailing address

180 Cabot St
Beverly, MA 01915-5847
Phone (978) 232-7300

Other identifiers 1

IdentifierTypeStateIssuer
1802194MedicaidMA

Other names 1

  • Department of Mental Health - Beverly Area Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mass Mental Health Cent147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

180 Cabot St
Beverly, MA 01915
Phone (978) 232-7300

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407973688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155847",
            "telephone_number": "978-232-7300",
            "fax_number": "978-927-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155847",
            "telephone_number": "978-232-7300",
            "fax_number": "978-927-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMDROFF",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "978-232-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802194",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Mental Health - Beverly Area Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.