Active NPI
Massachusetts Mental Health Treatment LLC
- Adult Mental Health Clinic/Center
- Pembroke, MA
National Provider Identifier
1558187096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MASSACHUSETTS MENTAL HEALTH TREATMENT LLC
- Practice address
- 42 Winter St Ste 25
Pembroke, MA 02359-4958 - Phone
- (781) 801-3801
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom Frey
- Title
- Billing
- Phone
- (781) 801-3801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
42 Winter St Ste 25
Pembroke, MA 02359-4958
Mailing address
42 Winter St Ste 25
Pembroke, MA 02359-4958
National Provider Directory
National Provider DirectoryLocations
42 Winter St
Ste 25
Pembroke, MA 02359
Phone (781) 335-6663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1558187096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WINTER ST STE 25",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023594958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WINTER ST STE 25",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023594958",
"telephone_number": "781-801-3801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSACHUSETTS MENTAL HEALTH TREATMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "FREY",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "781-801-3801"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.