RADICAL JOY INC NPI 1679469712

NPI Information

  • NPI: 1679469712
  • Provider Name: RADICAL JOY INC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 717 WASHINGTON ST
    DORCHESTER, MA
    ZIP 02124
  • Phone: (617) 785-8954

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NPI Details

RADICAL JOY INC is an adult mental health clinic center in Dorchester, 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 adults. RADICAL JOY INC NPI is 1679469712. The provider is registered as an organization entity type.

The provider's business location address is:

717 WASHINGTON ST
DORCHESTER, MA
ZIP 02124-411
Phone: (617) 785-8954

The provider's authorized official is Alicia Rahema Mooltrey .
The authorized official title is Executive Director/head Clinician and has the following contact phone number (617) 785-8954.

The enumeration date for this NPI number is 6/16/2025 and was last updated on 6/16/2025.

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
1261QM0850XClinic/CenterAdult 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: 11/21/2025

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