Active NPI
Mercury Newco Inc
Doing business as Overstory Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boston, MA
National Provider Identifier
1699591388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MERCURY NEWCO INC
- Doing business as
- Overstory Health
- Practice address
- 301 Columbia Rd
Boston, MA 02121-3409 - Phone
- (443) 498-3972
- NPI assigned
- Nov 26, 2024
- Last updated
- Nov 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Dai
- Title
- Director, Business Operations
- Phone
- (443) 498-3972
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
301 Columbia Rd
Boston, MA 02121-3409
Mailing address
584 Market St Ste 17462
San Francisco, CA 94104
Phone (443) 498-3972
Other names 1
- Overstory Health
National Provider Directory
National Provider Directory- Tax ID family
- Mercury Newco Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Overstory Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boston, MA
- NPI 1174347850
Locations
584 Market St Ste 17462
Ste 17462
San Francisco, CA 94104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1699591388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 MARKET ST STE 17462",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94104",
"telephone_number": "443-498-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 COLUMBIA RD",
"city": "BOSTON",
"state": "MA",
"postal_code": "021213409",
"telephone_number": "443-498-3972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCURY NEWCO INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-26",
"last_updated": "2024-11-26",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "DAI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR, BUSINESS OPERATIONS",
"authorized_official_telephone_number": "443-498-3972"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Overstory Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.