NPIMap

Organization Active NPI

Ferncroft Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Danvers, MA
National Provider Identifier
1861075459
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
FERNCROFT BEHAVIORAL HEALTH
Practice address
175 Andover St Ste 203
Danvers, MA 01923-1443
Phone
(978) 606-0011
Fax
(978) 606-2121
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Carol Emerson, PMHNPNPI 1922412477
Title
Owner/Clinician
Phone
(978) 606-0011

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

175 Andover St Ste 203
Danvers, MA 01923-1443

Mailing address

175 Andover St Ste 203
Danvers, MA 01923-1443
Phone (978) 606-0011

National Provider Directory

National Provider Directory

Locations

175 Andover St
Ste 203
Danvers, MA 01923
Phone (301) 461-2705

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1861075459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ANDOVER ST STE 203",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231443",
            "telephone_number": "978-606-0011",
            "fax_number": "978-606-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ANDOVER ST STE 203",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231443",
            "telephone_number": "978-606-0011",
            "fax_number": "978-606-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNCROFT BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "978-606-0011",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.