Healthcare Provider Details

I. General information

NPI: 1699300665
Provider Name (Legal Business Name): AMERICARE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 CANAL ST FL 6E
LAWRENCE MA
01840-1244
US

IV. Provider business mailing address

599 CANAL ST FL 6E
LAWRENCE MA
01840-1244
US

V. Phone/Fax

Practice location:
  • Phone: 978-770-5743
  • Fax: 888-900-1292
Mailing address:
  • Phone: 978-770-5743
  • Fax: 888-900-1292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATHEW KIIO
Title or Position: PRACTICE OWNER
Credential: DNP
Phone: 845-551-9673