North Shore Mindful LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NORTH SHORE MINDFUL LLC

Practice address

5 Broadway Ste 300
Saugus, MA 01906-1057

Phone

(617) 212-0304

Fax

(978) 238-8543

NPI assigned

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan D D'Antilio, LMHCNPI 1306485743

Title

Owner

Phone

(617) 212-0304

Specialties & licenses 1

Addresses

Other names 1

• Susan D'Antilo Other name

Locations

Practitioners 1

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.

• Susan D'Antilio, LMHC

  • Mental Health Counselor
  • Beverly, MA
  • NPI 1306485743
  NPD Authorized official

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1659163913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DODGE ST UNIT C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151700",
            "telephone_number": "617-212-0304",
            "fax_number": "978-607-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BROADWAY STE 300",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061057",
            "telephone_number": "617-212-0304",
            "fax_number": "978-238-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MINDFUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "D'ANTILIO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-212-0304",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan D'Antilo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• New England Vision Inc (Pearle Vision)
• Pauline Uyen Ngo, PA-C
• Thai Nguyen
• Awa Niang
• Margaret N. Njoroge, RN,BSN,DON
• North Suburban Dialysis Center Partnership (North Suburban Dialysis Center)
• Fred Ntalo
• Oc Saugus Center, LLC (Saugus Center)
• Cileimar S Oliveira, LMHC , M.ED.
• Nicole Orlando Smith, LMHC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saugus, MA
• Providers in Saugus, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.