Salem Street Healthcare Inc

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

230249 Issued in MA

Legal business name

SALEM STREET HEALTHCARE INC

Practice address

285 Salem St
Lowell, MA 01854-3517

Phone

(978) 452-9229

Fax

(978) 452-3752

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Fida Hassan, OWNER

Title

Medical Director

Phone

(978) 452-9229

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1841427101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SALEM ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543517",
            "telephone_number": "978-452-9229",
            "fax_number": "978-452-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SALEM ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543517",
            "telephone_number": "978-452-9229",
            "fax_number": "978-452-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM STREET HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "FIDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "978-452-9229",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "230249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Lowell, MA
• Providers in Lowell, MA by specialty
• Adolescent and Children Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.