Good Harbor Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GOOD HARBOR BEHAVIORAL HEALTH LLC

Practice address

871 Turnpike St
North Andover, MA 01845-6127

Phone

(978) 401-4444

Fax

(978) 208-2808

NPI assigned

Apr 5, 2021

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marinete Henry, PMHNPNPI 1093241010

Title

Owner

Phone

(978) 401-4444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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.

• Marinete Henry, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Andover, MA
  • NPI 1093241010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1528647831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TURNPIKE ST STE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456122",
            "telephone_number": "978-401-4444",
            "fax_number": "978-208-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456127",
            "telephone_number": "978-401-4444",
            "fax_number": "978-208-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HARBOR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MARINETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-401-4444",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice E Goldstein, PHD
• Catherine Gombeski, MA/CAGS
• Edwin Alexander Gomez
• Frank Gomez, LMFT
• Joseline Ivette Gonzalez
• Pushpa Gopal, M.D.
• Gordon Physical Therapy LLC
• Barbara Jacobs Gordon, M.S.C.C.C.SLP
• William F Gordon, PT
• Michael Raymond Goretti, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in North Andover, MA
• Providers in North Andover, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.