Organization Active NPI

Mighty Minds Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Amesbury, MA
National Provider Identifier
1992575880
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MIGHTY MINDS MENTAL HEALTH
Practice address
26 Millyard Ste 7
Amesbury, MA 01913-2429
Phone
(978) 504-2040
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Alexandra Kayla Sheppard
Title
Clinician
Phone
(339) 206-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

26 Millyard Ste 7
Amesbury, MA 01913-2429

Mailing address

95 Lowell Rd
Windham, NH 03087-1809
Phone (133) 920-6747

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1992575880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LOWELL RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871809",
            "telephone_number": "133-920-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MILLYARD STE 7",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132429",
            "telephone_number": "978-504-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY MINDS MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "KAYLA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "339-206-7477"
    },
    "taxonomies": [
        {
            "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 Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.