Active NPI
Cheryl L Bacheller, PHD APRN BC
- Psychologist
- Salem, MA
National Provider Identifier
1700860525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6181
- Practice address
- 30 Federal St
Suite B
Salem, MA 01970 - Phone
- (978) 740-9590
- Fax
- (978) 744-5486
- NPI assigned
- Dec 5, 2005
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 137539 | MA | |
| Psychologist | 103T00000X | 6181 | MA | Primary |
Addresses
Primary practice location
30 Federal St
Suite B
Salem, MA 01970
Mailing address
30 Federal St
Suite B
Salem, MA 01970
Phone (978) 740-9590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1898515 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6181 | MA | MD | Mental Health Counselor |
| 137539 | MA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700860525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 FEDERAL ST",
"address_2": "SUITE B",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-740-9590",
"fax_number": "978-744-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 FEDERAL ST",
"address_2": "SUITE B",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-740-9590",
"fax_number": "978-744-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHELLER",
"first_name": "CHERYL",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PHD APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "137539",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1898515",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.