North Shore Roots LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NORTH SHORE ROOTS LLC

Practice address

21 Goodell St Apt 1
Salem, MA 01970-1582

Phone

(978) 766-9904

NPI assigned

Jul 15, 2025

Organization subpart

No

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

Authorized official

Name

Tara Murray, LICSWNPI 1104553981

Title

Outpatient Therapist

Phone

(978) 766-9904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Murray

  • Clinical Social Worker
  • Beverly, MA
  • NPI 1104553981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1508758673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GOODELL ST APT 1",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GOODELL ST APT 1",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701582",
            "telephone_number": "978-766-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "978-766-9904",
        "authorized_official_credential": "LICSW"
    },
    "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": []
}

• North Shore Medical Center, Inc.
• North Shore Ophthalmic Associates Inc
• North Shore Oral Surgery Group PC
• North Shore Psychiatric Associates Inc
• North Shore Pulmonary Associates, Inc
• North Shore United Home Care LLC
• Northeast Behavioral Health
• Northeast Behavioral Health
• Northshore Ambulance, Inc.
• Northshore Medical Center

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salem, MA
• Providers in Salem, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.