Healthcare Provider Details

I. General information

NPI: 1700860525
Provider Name (Legal Business Name): CHERYL L BACHELLER PHD APRN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 FEDERAL ST SUITE B
SALEM MA
01970
US

IV. Provider business mailing address

30 FEDERAL ST SUITE B
SALEM MA
01970
US

V. Phone/Fax

Practice location:
  • Phone: 978-740-9590
  • Fax: 978-744-5486
Mailing address:
  • Phone: 978-740-9590
  • Fax: 978-744-5486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6181
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number137539
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: