NPIMap

Organization Active NPI

Northeast Behavioral Health

  • Community/Behavioral Health Agency
  • Haverhill, MA
National Provider Identifier
1487939054
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 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
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHEAST BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Ronald Aaron Krueger, MANPI 1538443940
Title
Clinician
Phone
(978) 373-1126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

60 Merrimack St
Haverhill, MA 01830-6207

Mailing address

60 Merrimack St
Haverhill, MA 01830-6207

National Provider Directory

National Provider Directory
Tax ID family
Bayridge Hospital18 organizations share this tax ID, including this one
Part of
Bayridge Hospital

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1487939054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MERRIMACK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERRIMACK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306207",
            "telephone_number": "978-373-1126",
            "fax_number": "978-521-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST BEHAVIORAL HEALTH",
        "enumeration_date": "2011-10-14",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "978-373-1126",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.