Mindspan Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MINDSPAN MEDICAL PC

Practice address

99 Conifer Hill Dr
Danvers, MA 01923-1193

Phone

(469) 772-9400

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer Harless

Title

Director of RCM

Phone

(508) 494-8275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Timothy Raymond Kelliher, MD

  • Neurology Physician
  • Beverly, MA
  • NPI 1043314198
  Medicare reassignment Care Compare group NPD
• Sherry Elizabeth Murray, NP

  • Adult Health Nurse Practitioner
  • Gloucester, MA
  • NPI 1164543179
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1659264646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 90030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "978-850-3914",
            "fax_number": "646-365-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CONIFER HILL DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231193",
            "telephone_number": "469-772-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "HARLESS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "508-494-8275"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Milroy, PMHNP
• Jookyeung Min
• Mina Dental Associates of Danvers
• Alyssa Minasian, APRN
• Mind Matters Counseling LLC
• Dorothy J Minear, MED
• Lauren Miningham-Monsour, LCSW
• Brenda Carol Minor, MD
• Mahshid Mirghassemi, DDS
• Casey Mohla

• Clinic/Center in Danvers, MA
• Providers in Danvers, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.