Fannthera LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FANNTHERA LLC

Practice address

177 Massachusetts Ave Apt 1
North Andover, MA 01845-4139

Phone

(978) 387-4914

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Courtney Aldrich, LICSWNPI 1447919121

Title

Clinical Social Worker

Phone

(978) 837-4914

Specialties & licenses 3

Addresses

Practitioners 1

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

• Courtney Aldrich

  • Social Worker
  • Cambridge, MA
  • NPI 1447919121
  NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1982313052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MASSACHUSETTS AVE APT 1",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MASSACHUSETTS AVE APT 1",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454139",
            "telephone_number": "978-387-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNTHERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "978-837-4914",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Fallon, MSN, APRN, FNP-C
• Family & Cosmetic Dentistry of North Andover, LLC
• Michele Janine Farrell
• Bryan Gordon Feindel, PHARMD
• Cecilia Fernandez-Hall, PH.D.
• Elaine Camilo Ferreira, FNP
• Emily Claire Finch, PT, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in North Andover, MA
• Providers in North Andover, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.