NPIMap

Organization Active NPI

Kidshine LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rowley, MA
National Provider Identifier
1790658185
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KIDSHINE LLC
Practice address
28 Forest Ridge Dr
Rowley, MA 01969-2150
Phone
(978) 356-0315
Fax
(978) 356-0316
NPI assigned
Sep 24, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Amy Wheadon, ODNPI 1366864472
Title
Owner, Clinician
Phone
(978) 356-0315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

28 Forest Ridge Dr
Rowley, MA 01969-2150

Mailing address

28 Forest Ridge Dr
Rowley, MA 01969-2150
Phone (978) 356-0315

National Provider Directory

National Provider Directory
Tax ID family
Kidshine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

28 Forest Ridge Dr
Rowley, MA 01969
Phone (978) 356-0315

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1790658185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FOREST RIDGE DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692150",
            "telephone_number": "978-356-0315",
            "fax_number": "978-356-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FOREST RIDGE DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692150",
            "telephone_number": "978-356-0315",
            "fax_number": "978-356-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSHINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "WHEADON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "978-356-0315",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.