Organization Active NPI

Massachusetts Mental Health Treatment LLC

  • Adult Mental Health Clinic/Center
  • Pembroke, MA
National Provider Identifier
1558187096
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

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
Tom Frey
Title
Billing
Phone
(781) 801-3801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.