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NORTH SUFFOLK MENTAL HEALTH ASSOCIATION INC. NPI 1740209881


NPI Information

NPI: 1740209881
Provider Name: NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
14 PORTER ST
EAST BOSTON, MA
ZIP 02128
Phone: (617) 569-3189
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NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. is a clinic center in East Boston, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. NPI is 1740209881. The provider is registered as an organization entity type.

The provider's business location address is:

14 PORTER ST
EAST BOSTON, MA
ZIP 02128-116
Phone: (617) 569-3189
Fax: (617) 569-7890

The provider's authorized official is Jackie K. Moore .
The authorized official title is Chief Executive Officer and has the following contact phone number (617) 912-7910.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/10/2008.


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
1261Q00000XClinic/Center4027MASSACHUSETTSYes

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
1M18732OTHERMASSACHUSETTSBLUE CROSS OF MA
2708502OTHERMASSACHUSETTSTUFTS HEALTH PLANS
3Y10045MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
4Y15128MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
51307398MEDICAIDMASSACHUSETTS
61002420OTHERMASSACHUSETTSBEACON HEALTH STRATEGIES
7A012487OTHERMASSACHUSETTSMASS. BEHAVIORAL HEALTH PARTNERSHIP NODDLES ISLAND
8A011775OTHERMASSACHUSETTSMASS. BEHAVIORAL HEALTH PARTNERSHIP
9P10113MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
101301659MEDICAIDMASSACHUSETTS
111304178MEDICAIDMASSACHUSETTS
127216OTHERMASSACHUSETTSBMC HEALTHNET
131301926MEDICAIDMASSACHUSETTS
14996251-01OTHERMASSACHUSETTSNETWORK HEALTH
15214325OTHERMASSACHUSETTSMAGELLAN BEHAVIORAL HLTH
161303147MEDICAIDMASSACHUSETTS

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: 11/14/2023

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