Achieve Wellness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ACHIEVE WELLNESS, LLC

Practice address

191 Merrimack St Ste 712
Haverhill, MA 01830-6145

Phone

(978) 891-4928

Fax

(978) 945-4787

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Rebecca Harding-Fauth, PMHNPNPI 1265855530

Title

Manager

Phone

(978) 891-4928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Harding-Fauth, RN/NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Haverhill, MA
  • NPI 1265855530

  MA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1639736838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PILLSBURY RD",
            "city": "E HAMPSTEAD",
            "state": "NH",
            "postal_code": "038262502",
            "telephone_number": "978-891-4928",
            "fax_number": "978-945-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MERRIMACK ST STE 712",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306145",
            "telephone_number": "978-891-4928",
            "fax_number": "978-945-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "HARDING-FAUTH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-891-4928",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guovana Aboukhater, RN, MSN, NP-C
• John Aboukhater, DMD
• Kisleiny Abreu
• Kathleen Dolores Absalom, N.P.
• Anita Acevedo, LCSW
• Kenneth G. Adams, M.D.
• Diane Corbin Adebayo, LPN
• Sai Anusha Adlur Janakiraman, DMD
• Adult Behavioral Services LLC
• Advanced Pharmacy Solutions, LLC

• All providers in Haverhill, MA
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.