Merrimack Center

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MERRIMACK CENTER

Practice address

365 East St
Tewksbury, MA 01876-1950

Phone

(978) 851-0790

NPI assigned

May 8, 2009

Organization subpart

No

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

Authorized official

Name

Erin Musto

Title

Clinical Intern

Phone

(978) 287-3510

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1710111422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 EAST ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761950",
            "telephone_number": "978-851-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "MUSTO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CLINICAL INTERN",
        "authorized_official_telephone_number": "978-287-3510"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Melo, DPT, PT
• Men'S Recovery Home
• Pamela Mendez Simo
• Lerrea Mengata
• Mercy Medical Transportation LLC
• Merrimack Family Medicine PC
• Rebecca Jane Mervine, LCSW
• MGS Dental PC
• Alice Mikhail
• Mind Spruce Counseling

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.