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DEPARTMENT OF MENTAL HEALTH NPI 1083732168


NPI Information

NPI: 1083732168
Provider Name: DEPARTMENT OF MENTAL HEALTH

Doing Business As: B U FULLER IRTP

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
BOSTON UNIVERSITY - FULLER IRTP
85 E NEWTON ST FL 6
BOSTON, MA
ZIP 02118
Phone: (617) 414-2005
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DEPARTMENT OF MENTAL HEALTH is a community based residential treatment facility mental illness in Boston, MA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DEPARTMENT OF MENTAL HEALTH NPI is 1083732168. The provider is registered as an organization entity type.
The provider Is Doing Business As B U Fuller Irtp.

The provider's business location address is:

BOSTON UNIVERSITY - FULLER IRTP
85 E NEWTON ST FL 6
BOSTON, MA
ZIP 02118-340
Phone: (617) 414-2005
Fax: (617) 414-2101

The provider's authorized official is Paul Scopa .
The authorized official title is Asst Director Of Non-inst Reimburse and has the following contact phone number (617) 886-8089.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11103148MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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