ENGRACE BEHAVIORAL HEALTH SERVICES LLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1013416387
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ENGRACE BEHAVIORAL HEALTH SERVICES LLC
1223 BEACON ST STE A
BROOKLINE, MA 024465332
Phone: (617) 739-1122
Type: Location
414, Shaw Street, East Braintree, Braintree, Norfolk County, Massachusetts, 02169, United States
BRAINTREE, MA 021841226
Phone:
Type: Mailing
950 N MAIN ST # 202
RANDOLPH, MA 023683064
Phone: (617) 203-2009
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (711 days ago).
Enrollment records
3
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180525000621 | O | Clinic/Group Practice | MA | 2024-06-30 |
| O20241227001113 | O | Clinic/Group Practice | CT | TBD |
| O20250103000359 | O | Clinic/Group Practice | MD | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02446)
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