Elemental Shift LLC
Clinic/Center, Adult Mental Health in Salem, Massachusetts
1992418446- Practice location
- 34 Forrester Street, Salem, MA 01970
- Phone
- 207-671-4325
- Fax
- —
- Last updated
- December 29, 2022
Elemental Shift LLC is a healthcare organization based in Salem, MA. Elemental Shift LLC practices in Salem, MA. The NPI Number for Elemental Shift LLC is 1992418446. The current practice location address for Elemental Shift LLC is 34 Forrester Street, Salem, MA 01970 and can be reached out via phone at 207-671-4325.
Provider Profile Details
- NPI Number
- 1992418446
- Provider Name
- Elemental Shift LLC
- Provider Entity Type
- Organization
- Address
- 34 Forrester Street, Salem, MA 01970
- Phone Number
- 207-671-4325
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Kirsten Jettinghoff, LMHC · Owner · 207-671-4325
- Other Names
- Elemental Shift LLC (Doing Business As)
- Provider Enumeration Date
- December 29, 2022
- Last Update Date
- December 29, 2022
- Certification Date
- December 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Forrester Street
Salem, MA 01970 - City
- Salem
- State
- Massachusetts
- Zip
- 01970
- Phone Number
- 207-671-4325
Provider Business Mailing Address Details
- Address
- 203 Washington St Ste 181
Salem, MA 01970-3607 - City
- Salem
- State
- MA
- Zip
- 01970-3607
- Phone Number
- 207-671-4325
License Information
- Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adult Mental Health providers near Salem, MA
View all Clinic/Center, Adult Mental Health providers in Salem →- Anne Cooper Beazley LLCClinic/Center, Adult Mental Health · NPI 1265023295
- Northeast Behavioral HealthClinic/Center, Adult Mental Health · NPI 1356603740
- Peace By Piece Psychological CareClinic/Center, Adult Mental Health · NPI 1134750185
- Reflective Being LLCClinic/Center, Adult Mental Health · NPI 1861037962
Frequently Asked Questions
What is the NPI number of Elemental Shift LLC?
The NPI number of Elemental Shift LLC is 1992418446. It was assigned on December 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Elemental Shift LLC?
Elemental Shift LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).
Where does Elemental Shift LLC practice?
The practice location is 34 Forrester Street, Salem, MA 01970. The office can be reached at 207-671-4325 (phone).
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 1992418446 directly on the NPPES registry website.