NPIMap

Organization Active NPI

Alliance Lifetime Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Andover, MA
National Provider Identifier
1568196830
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALLIANCE LIFETIME MENTAL HEALTH, INC
Practice address
790 Turnpike St Ste 302
North Andover, MA 01845-6138
Phone
(978) 655-7782
Fax
(978) 655-7731
NPI assigned
Jul 13, 2022
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
April Farley
Title
Billing/Credentialing Coordinator
Phone
(978) 655-7782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

790 Turnpike St Ste 302
North Andover, MA 01845-6138

Mailing address

790 Turnpike St
Suite 302
N. Andover, MA 01845-6138
Phone (978) 655-7782

Other practice location 1

15 Union St
Bldg C, Suite 204
Lawrence, MA 01840
Phone (978) 655-7782

Other practice location 2

15 Constitution Dr Fl 1
Bedford, NH 03110-6042
Phone (978) 655-7782

Other identifiers 1

IdentifierTypeStateIssuer
110076593BMedicaidMA

Other names 1

  • Alliance Lifetime Mental Health Other name

National Provider Directory

National Provider Directory

Locations

15 Union St
Bldg C
Lawrence, MA 01840

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1568196830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST",
            "address_2": "SUITE 302",
            "city": "N. ANDOVER",
            "state": "MA",
            "postal_code": "018456138",
            "telephone_number": "978-655-7782",
            "fax_number": "978-655-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 302",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456138",
            "telephone_number": "978-655-7782",
            "fax_number": "978-655-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Union St",
            "address_2": "Bldg C, Suite 204",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "01840",
            "country_code": "US",
            "telephone_number": "978-655-7782",
            "fax_number": "978-655-7731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Constitution Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106042",
            "country_code": "US",
            "telephone_number": "978-655-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE LIFETIME MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-01-15",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "978-655-7782"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110076593B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Lifetime Mental Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alliance Lifetime Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.