Active NPI
Mercury Behavioral Health of Massachusetts PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boston, MA
National Provider Identifier
1912752650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MERCURY BEHAVIORAL HEALTH OF MASSACHUSETTS PC
- Practice address
- 580 Harrison Ave Ste 2B
Boston, MA 02118-2440 - Phone
- (224) 622-5470
- Fax
- (919) 910-5488
- NPI assigned
- Apr 17, 2024
- 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
- Robert Pahlavan
- Title
- Ceo
- Phone
- (617) 202-3565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
580 Harrison Ave Ste 2B
Boston, MA 02118-2440
Mailing address
548 Market St Ste 17462
San Francisco, CA 94104-5401
Phone (443) 498-3972
National Provider Directory
National Provider DirectoryLocations
660 Harrison Ave
Boston, MA 02118
Phone (224) 622-5470
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Providence, RI
- NPI 1881600120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1912752650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 MARKET ST STE 17462",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941045401",
"telephone_number": "443-498-3972",
"fax_number": "919-910-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 HARRISON AVE STE 2B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182440",
"telephone_number": "224-622-5470",
"fax_number": "919-910-5488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCURY BEHAVIORAL HEALTH OF MASSACHUSETTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "PAHLAVAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-202-3565"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.