Organization Active NPI

Chinne Health Systems LLC

  • Clinic/Center
  • Lynn, MA
National Provider Identifier
1578027975
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHINNE HEALTH SYSTEMS LLC
Practice address
330 Lynnway Ste 112
Lynn, MA 01901-1706
Phone
(781) 593-3900
Fax
(781) 593-3944
NPI assigned
Jan 30, 2019
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Annette Okereke, DNP NP-C PMHNP-BCNPI 1346478120
Title
Clinical Director
Phone
(781) 593-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

330 Lynnway Ste 112
Lynn, MA 01901-1706

Mailing address

330 Lynnway Ste 112
Lynn, MA 01901-1706

Other practice location 1

147 E Merrimack St
Lowell, MA 01852-1208
Phone (781) 593-3900

Other practice location 2

775 E Falmouth Hwy
East Falmouth, MA 02536-6191
Phone (781) 593-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200306000274 MA Part B Supplier - Clinic/Group Practice 8921435819 Receives reassigned benefits from 3 practitioners
Practice locations: Lynn, MA

National Provider Directory

National Provider Directory

Locations

147 E Merrimack St
Lowell, MA 01852
Phone (781) 593-3900

330 Lynnway
Ste 112
Lynn, MA 01901
Phone (781) 593-3900

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1578027975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LYNNWAY STE 112",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LYNNWAY STE 112",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011706",
            "telephone_number": "781-593-3900",
            "fax_number": "781-593-3944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 E Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018521208",
            "country_code": "US",
            "telephone_number": "781-593-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 E Falmouth Hwy",
            "address_purpose": "LOCATION",
            "city": "East Falmouth",
            "state": "MA",
            "postal_code": "025366191",
            "country_code": "US",
            "telephone_number": "781-593-3900",
            "fax_number": "781-593-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHINNE HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "OKEREKE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "781-593-3900",
        "authorized_official_credential": "DNP  NP-C  PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.