VICTORY BAY MENTAL HEALTH MA LLC
NPI 1265271522
Clinic/Center - Mental Health (Including Community Mental Health Center) in Woburn, MA

Active since May 24, 2024
500 W CUMMINGS PARK, SUITE 1700 AND 1800, WOBURN, MA 01801(856) 440-9573 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About VICTORY BAY MENTAL HEALTH MA LLC

This page provides the complete NPI Profile along with additional information for Victory Bay Mental Health Ma Llc, a provider established in Woburn, Massachusetts operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1265271522 assigned on May 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jessica Maccarella (Coo)

NPI
1265271522 Verify this NPI
Provider Name
VICTORY BAY MENTAL HEALTH MA LLC
Entity Type
Organization
Location Address
500 W CUMMINGS PARK SUITE 1700 AND 1800 WOBURN, MA 01801
Location Phone
(856) 440-9573
Mailing Address
7 EVES DR STE 100 MARLTON, NJ 08053
Mailing Phone
(856) 440-9573
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2024
Last Update Date
05-28-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSICA MACCARELLA

Authorized Official Title
COO
Authorized Official Phone
(856) 440-7593

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, EAP SYSTEMS
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Clinical Nurse Specialist
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 390
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801
Social Worker (Clinical)
500 W CUMMINGS PARK, SUITE 3900
WOBURN, MA 01801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265271522, enumerated as an "organization" on May 24, 2024.

The provider is located at 500 W CUMMINGS PARK SUITE 1700 AND 1800 WOBURN, MA 01801 and the phone number is (856) 440-9573.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).