NPIMap

Organization Active NPI

Family Services of the Merrimack Valley, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, MA
National Provider Identifier
1679680615
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4206 Issued in MA
Legal business name
FAMILY SERVICES OF THE MERRIMACK VALLEY, INC.
Practice address
430 N Canal St
Lawrence, MA 01840-1246
Phone
(978) 683-9505
Fax
(978) 683-1026
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Ms. Elizabeth A. Sweeney, LICSW
Title
Executive Director
Phone
(978) 327-6637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4206 MA Primary

Addresses

Primary practice location

430 N Canal St
Lawrence, MA 01840-1246

Mailing address

430 N Canal St
Lawrence, MA 01840-1246
Phone (978) 683-9505

Other identifiers 1

IdentifierTypeStateIssuer
1305093MedicaidMA

Other names 1

  • Family Service, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000077 MA Part B Supplier - Clinic/Group Practice 5395756126 Receives reassigned benefits from 6 practitioners
Practice locations: Lawrence, MA

National Provider Directory

National Provider Directory
Tax ID family
Family Service Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1679680615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N CANAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401246",
            "telephone_number": "978-683-9505",
            "fax_number": "978-683-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N CANAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401246",
            "telephone_number": "978-683-9505",
            "fax_number": "978-683-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF THE MERRIMACK VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-327-6637",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305093",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.