Organization Active NPI

Rebecca Van Dyke, LMHC, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly, MA
National Provider Identifier
1437701745
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REBECCA VAN DYKE, LMHC, LLC
Practice address
100 Cummings Ctr Ste 207P
Beverly, MA 01915-6104
Phone
(978) 238-9674
Fax
(978) 910-0531
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Rebecca Van Dyke
Title
Owner
Phone
(978) 238-9674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 207P
Beverly, MA 01915-6104

Mailing address

100 Cummings Ctr Ste 207P
Beverly, MA 01915-6104
Phone (978) 238-9674

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1437701745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 207P",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156104",
            "telephone_number": "978-238-9674",
            "fax_number": "978-910-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 207P",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156104",
            "telephone_number": "978-238-9674",
            "fax_number": "978-910-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA VAN DYKE, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-238-9674"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 16, 2019; 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.