NPI 1386245546 · live from the CMS NPI Registry
Activmatters Of The Brain LLC
Clinic/Center, Research in Methuen, MA. National Provider Identifier 1386245546, active.
NPI record
| NPI | 1386245546 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Research 261QR1100X |
| Practice location | 421 Merrimack St Ste 203, Methuen, MA 01844 |
| Practice phone | 978-655-7155 |
| Enumerated | November 4, 2020 |
| Last updated | April 28, 2021 |
| Authorized official | Terry Stubbs, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Clinic/Center, Research primary | 261QR1100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.