Active NPI
Andrea Passacantilli
- Mental Health Counselor
- Saugus, MA
National Provider Identifier
1992100838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 184 Broadway
Saugus, MA 01906-1099 - Phone
- (781) 233-1747
- Fax
- (781) 233-1782
- NPI assigned
- Nov 4, 2014
- Last updated
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
184 Broadway
Saugus, MA 01906-1099
Mailing address
30 Ashcroft Rd
Medford, MA 02155-3109
Phone (617) 257-4815
Other practice location 1
95 Pleasant St
Lynn, MA 01901-1524
Phone (800) 988-1111
Other names 1
- Andrea Falta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Systems Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Worcester, MA
- NPI 1376827188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1992100838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ASHCROFT RD",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553109",
"telephone_number": "617-257-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 BROADWAY",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019061099",
"telephone_number": "781-233-1747",
"fax_number": "781-233-1782"
}
],
"practiceLocations": [
{
"address_1": "95 Pleasant St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011524",
"country_code": "US",
"telephone_number": "800-988-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASSACANTILLI",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "FALTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.