Active NPI
Stream Behavioral Health LLC
- Nurse Practitioner
- Tewksbury, MA
National Provider Identifier
1881504223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- STREAM BEHAVIORAL HEALTH LLC
- Practice address
- 39 Country Club Drive
Tewksbury, MA 01876 - Phone
- (781) 354-0817
- NPI assigned
- Sep 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annette Gillian Kivumbi
- Title
- Director
- Phone
- (781) 354-0817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
39 Country Club Drive
Tewksbury, MA 01876
Mailing address
1274 Osgood St Ste 200
North Andover, MA 01845-1090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1881504223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1274 OSGOOD ST STE 200",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 COUNTRY CLUB DRIVE",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "01876",
"telephone_number": "781-354-0817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STREAM BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "KIVUMBI",
"authorized_official_first_name": "ANNETTE",
"authorized_official_middle_name": "GILLIAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "781-354-0817"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.