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PINE STREET INN NPI 1649658741


NPI Information

NPI: 1649658741
Provider Name: PINE STREET INN
Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
170 MORTON ST
BOSTON, MA
ZIP 02130
Phone: (617) 892-7893
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PINE STREET INN is a rehabilitation substance use disorder unit in Boston, MA. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) PINE STREET INN NPI is 1649658741. The provider is registered as an organization entity type.

The provider's business location address is:

170 MORTON ST
BOSTON, MA
ZIP 02130-735
Phone: (617) 892-7893

The provider's authorized official is Maria Imelda Fitzpatrick .
The authorized official title is Clinician and has the following contact phone number (617) 892-7893.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.


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
1276400000XRehabilitation, Substance Use Disorder Unit220519MASSACHUSETTSYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.