Atlantic Mental Health, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ATLANTIC MENTAL HEALTH, INC

Practice address

260 Fordham Rd Ste A900
Wilmington, MA 01887-2170

Phone

(978) 737-7937

NPI assigned

Sep 29, 2023

Organization subpart

No

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

Authorized official

Name

David Ray

Title

Ceo

Phone

(978) 471-8124

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tess Dunham, MS

  • Mental Health Counselor
  • Wilmington, MA
  • NPI 1841071172
  NPD (past)
• Edith Estrada Juhlin, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mattapan, MA
  • NPI 1184221921
  NPD (past)

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1801676796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FORDHAM RD STE A900",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 FORDHAM RD STE A900",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872170",
            "telephone_number": "978-737-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-471-8124"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Arias
• Laura Armstrong, N.P.
• Juliet Askenase, LICSW
• Nicole Athorn
• Atlantic Dental Arts LLC
• Dale Atlas, LMHC
• Gregory Robert Bacos
• Isabella R Baker
• John Francis Balliro Sr., R.PH.
• Banyan Treatment Center Mass, LLC

• Adult Mental Health Clinic/Center in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.