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COMMONWEALTH OF MASSCHUSETTS NPI 1710004858


NPI Information

NPI: 1710004858
Provider Name: COMMONWEALTH OF MASSCHUSETTS

Doing Business As: DEPARTMENT OF MENTAL HEALTH - CAMBRIDGE SOMERVILLE OFFICE

Classification: Case Management - 251B00000X
Entity Type: Organization
Address:
2400 MASSACHUSETTS AVE
CAMBRIDGE, MA
ZIP 02140
Phone: (617) 626-4800
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COMMONWEALTH OF MASSCHUSETTS is a case management in Cambridge, MA. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. COMMONWEALTH OF MASSCHUSETTS NPI is 1710004858. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of Mental Health - Cambridge Somerville Office.

The provider's business location address is:

2400 MASSACHUSETTS AVE
CAMBRIDGE, MA
ZIP 02140-854
Phone: (617) 626-4800
Fax: (617) 497-6128

The provider's authorized official is Tina Licciardello .
The authorized official title is Site Director and has the following contact phone number (617) 626-4800.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.


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
1251B00000XCase ManagementYes

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
11802151MEDICAIDMASSACHUSETTS

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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