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THE COMMONWEALTH OF MASSACHUSETTS NPI 1568587913


NPI Information

NPI: 1568587913
Provider Name: THE COMMONWEALTH OF MASSACHUSETTS

Doing Business As: DEPARTMENT OF MENTAL HEALTH - MASS MENTAL HEALTH CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
20 VINING ST
BOSTON, MA
ZIP 02115
Phone: (617) 626-9459
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THE COMMONWEALTH OF MASSACHUSETTS is a mental health (including community mental health center) clinic center in Boston, MA. THE COMMONWEALTH OF MASSACHUSETTS NPI is 1568587913. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of Mental Health - Mass Mental Health Center.

The provider's business location address is:

20 VINING ST
BOSTON, MA
ZIP 02115-115
Phone: (617) 626-9459

The provider's authorized official is Regina Marshall .
The authorized official title is Center Director and has the following contact phone number (617) 626-9459.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/24/2014.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
11310046MEDICAIDMASSACHUSETTS
21310062MEDICAIDMASSACHUSETTS
3Y10406OTHERMASSACHUSETTSMEDICARE PART B
4224614MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSOUTPATIENT MEDICARE

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: 4/28/2024

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