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NORTH SUFFOLK MENTAL HEALTH ASSOCIATION INC. NPI 1255481107


NPI Information

NPI: 1255481107
Provider Name: NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC.
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
530 BORDER ST
EAST BOSTON, MA
ZIP 02128
Phone: (617) 569-6560
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NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. is a developmental disabilities clinic center in East Boston, MA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. NPI is 1255481107. The provider is registered as an organization entity type.

The provider's business location address is:

530 BORDER ST
EAST BOSTON, MA
ZIP 02128-432
Phone: (617) 569-6560
Fax: (617) 569-1856

The provider's authorized official is Jackie K. Moore .
The authorized official title is Chief Executive Officer and has the following contact phone number (617) 912-7910.

The enumeration date for this NPI number is 1/11/2007 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
1261QD1600XClinic/CenterDevelopmental DisabilitiesCERTIFIED BY DPHMASSACHUSETTSYes

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
10006844OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
2612900OTHERMASSACHUSETTSHARVARD PILGRIM
3708502OTHERMASSACHUSETTSTUFTS HEALTH PLAN
41800515MEDICAIDMASSACHUSETTS
53836587OTHERCONNECTICUTCIGNA
6821870OTHERCONNECTICUTAETNA-US HEALTHCARE
700000005443OTHERMASSACHUSETTSBMC HEALTHNET-EI
8EI0002OTHERMASSACHUSETTSBLUE CROSS OF MA
999625101OTHERMASSACHUSETTSNETWORK HEALTH
1042317215002OTHERTRICARE-CHAMPUS

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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