PINE STREET INN NPI 1679608384

NPI Information

  • NPI: 1679608384
  • Provider Name: PINE STREET INN
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 444 HARRISON AVE
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 892-9451

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NPI Details

PINE STREET INN is a community behavioral health in Boston, MA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PINE STREET INN NPI is 1679608384. The provider is registered as an organization entity type.

The provider's business location address is:

444 HARRISON AVE
BOSTON, MA
ZIP 02118-404
Phone: (617) 892-9451
Fax: (617) 521-7621

The provider's authorized official is Lyndia Downie .
The authorized official title is President And Ceo and has the following contact phone number (617) 892-9108.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 4/12/2012.

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
1251S00000XCommunity/Behavioral Health0817MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11300130MEDICAIDMASSACHUSETTS

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: 3/30/2025

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