North Shore Mindful LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Saugus, Massachusetts
1659163913- Practice location
- 5 Broadway Ste 300, Saugus, MA 01906-1057
- Phone
- 617-212-0304
- Fax
- 978-238-8543
- Last updated
- May 21, 2025
North Shore Mindful LLC is a healthcare organization based in Saugus, MA. North Shore Mindful LLC practices in Saugus, MA. The NPI Number for North Shore Mindful LLC is 1659163913. The current practice location address for North Shore Mindful LLC is 5 Broadway Ste 300, Saugus, MA 01906-1057 and can be reached out via phone at 617-212-0304 and via fax at 978-238-8543.
Provider Profile Details
- NPI Number
- 1659163913
- Provider Name
- North Shore Mindful LLC
- Provider Entity Type
- Organization
- Address
- 5 Broadway Ste 300, Saugus, MA 01906-1057
- Phone Number
- 617-212-0304
- Fax Number
- 978-238-8543
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Susan D D'Antilio, LMHC · Owner · 617-212-0304
- Other Names
- Susan D'Antilo (Other Name)
- Provider Enumeration Date
- May 21, 2025
- Last Update Date
- May 21, 2025
- Certification Date
- May 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Broadway Ste 300
Saugus, MA 01906-1057 - City
- Saugus
- State
- Massachusetts
- Zip
- 01906-1057
- Phone Number
- 617-212-0304
- Fax Number
- 978-238-8543
Provider Business Mailing Address Details
- Address
- 65 Dodge St Unit C
Beverly, MA 01915-1700 - City
- Beverly
- State
- MA
- Zip
- 01915-1700
- Phone Number
- 617-212-0304
- Fax Number
- 978-607-4130
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of North Shore Mindful LLC?
The NPI number of North Shore Mindful LLC is 1659163913. It was assigned on May 21, 2025 and is currently active in the NPPES registry.
What is the specialty of North Shore Mindful LLC?
North Shore Mindful LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does North Shore Mindful LLC practice?
The practice location is 5 Broadway Ste 300, Saugus, MA 01906-1057. The office can be reached at 617-212-0304 (phone) or 978-238-8543 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659163913 directly on the NPPES registry website.