SAFE HARBOR BEHAVIORAL HEALTH
NPI 1124991500
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gloucester, MA
About Safe Harbor Behavioral Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAFE HARBOR BEHAVIORAL HEALTH (NPI 1124991500) is a healthcare organization registered as a mental health (including community mental health center) in Gloucester, Massachusetts and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Brendan James Fullerton, Program Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2338145
Safe Harbor Behavioral Health · Gloucester, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Safe Harbor Behavioral Health's NPI number?
The NPI number for Safe Harbor Behavioral Health is 1124991500. It was assigned to this organization in the NPPES registry on September 24, 2025.
Where is Safe Harbor Behavioral Health located?
Safe Harbor Behavioral Health is located at 11-15 Parker St, Gloucester, MA 01930. The listed phone number is (978) 968-0708.
What is Safe Harbor Behavioral Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Does Safe Harbor Behavioral Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2338145) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Safe Harbor Behavioral Health was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Safe Harbor Behavioral Health · NPI 1124991500
Mental Health (Including Community Mental Health Center) organization in Gloucester, Massachusetts. Organization record, active in the CMS NPPES registry since September 24, 2025.
## Identity
- **NPI:** 1124991500 (Entity type: Organization)
- **Enumerated:** September 24, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Brendan Fullerton, PROGRAM DIRECTOR
## Practice location
- **Address:** 11-15 PARKER ST, Gloucester, MA 01930-3017
- **Phone:** (978) 968-0708
## Record status
- **NPPES last updated:** October 1, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1124991500) · Data from the CMS NPPES public registry.