Northeast Behavioral Health
Organization Active NPI Community/Behavioral Health Agency · Haverhill, MA
NPI 1487939054 · NPPES record last updated Apr 27, 2016
Key facts
- NPI
- 1487939054
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NORTHEAST BEHAVIORAL HEALTH
- Practice address
- 60 Merrimack St
Haverhill, MA 01830-6207 - Phone
- (978) 373-1126
- Fax
- (978) 521-7783
- NPI assigned
- Oct 14, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTHEAST BEHAVIORAL HEALTH
Authorized official
- Name
- Ronald Aaron Krueger, MA
- Title
- Clinician
- Phone
- (978) 373-1126
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Northeast Behavioral Health
- Part of
- Northeast Behavioral Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
60 Merrimack St
Haverhill, MA 01830-6207
Mailing address
60 Merrimack St
Haverhill, MA 01830-6207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154302586 | Medicaid | MA |
Other providers in Haverhill, MA
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All providers in Haverhill, MA · Community/Behavioral Health Agency in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.