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JUDGE BAKER CHILDREN'S CENTER NPI 1629559059


NPI Information

NPI: 1629559059
Provider Name: JUDGE BAKER CHILDREN'S CENTER
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 22D2201163

Address:
53 PARKER HILL AVE
BOSTON, MA
ZIP 02120
Phone: (617) 278-4265
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JUDGE BAKER CHILDREN'S CENTER is an adolescent and children mental health clinic center in Boston, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. JUDGE BAKER CHILDREN'S CENTER NPI is 1629559059. The provider is registered as an organization entity type.

The provider's business location address is:

53 PARKER HILL AVE
BOSTON, MA
ZIP 02120-225
Phone: (617) 278-4265

The provider's authorized official is Katherine May .
The authorized official title is Director Of Clinical Operations and has the following contact phone number (617) 254-3800.

The CLIA number assigned to this NPI record is 22D2201163 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 4/12/2023.


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)No
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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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