Heidi Busch

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEIDI BUSCH

Practice address

59 Hale St
Beverly, MA 01915-4619

Phone

(970) 946-9948

NPI assigned

Aug 11, 2009

Last updated

Aug 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi M Busch

Title

Direct Care Counselor

Phone

(970) 946-9948

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1720210644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 HALE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HALE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154619",
            "telephone_number": "970-946-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI BUSCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECT CARE COUNSELOR",
        "authorized_official_telephone_number": "970-946-9948"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.