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DIMOCK COMMUNITY SERVICES CORP NPI 1174677223


NPI Information

NPI: 1174677223
Provider Name: DIMOCK COMMUNITY SERVICES CORP

Other Name: DIMOCK EARLY INTERVENTION

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1800 COLUMBUS AVE
ROXBURY, MA
ZIP 02119
Phone: (617) 442-8800
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DIMOCK COMMUNITY SERVICES CORP is a community behavioral health in Roxbury, MA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DIMOCK COMMUNITY SERVICES CORP NPI is 1174677223. The provider is registered as an organization entity type.
The provider Other Name Is Dimock Early Intervention.

The provider's business location address is:

1800 COLUMBUS AVE
ROXBURY, MA
ZIP 02119-042
Phone: (617) 442-8800
Fax: (617) 445-0091

The provider's authorized official is David Whitham .
The authorized official title is Director It & Ar and has the following contact phone number (617) 442-8800.

The enumeration date for this NPI number is 1/23/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthMASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11887297MEDICAIDMASSACHUSETTS

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: 5/5/2024

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