Organization Active NPI

Clover Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chelmsford, MA
National Provider Identifier
1548083322
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CLOVER BEHAVIORAL HEALTH LLC
Practice address
321 Billerica Rd Unit 206
Chelmsford, MA 01824-4169
Phone
(978) 216-7765
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Jonathan Pena
Title
Billing
Phone
(973) 986-1103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

321 Billerica Rd Unit 206
Chelmsford, MA 01824-4169

Mailing address

321 Billerica Rd Unit 206
Chelmsford, MA 01824-4169

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2321056Clover Behavioral Health321 Billerica Road, Chelmsford, MA 01824Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

321 Billerica Rd
Unit 206
Chelmsford, MA 01824
Phone (978) 216-7765

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1548083322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BILLERICA RD UNIT 206",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BILLERICA RD UNIT 206",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244169",
            "telephone_number": "978-216-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "973-986-1103"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.