PELHAM ACADEMY NPI 1760719553

NPI Information

  • NPI: 1760719553
  • Provider Name: PELHAM ACADEMY
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • CLIA Number: 22D1068004
  • Address: 13 PELHAM RD
    LEXINGTON, MA
    ZIP 02421
  • Phone: (781) 274-6800

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NPI Details

PELHAM ACADEMY is a residential treatment facility emotionally disturbed children in Lexington, MA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. PELHAM ACADEMY NPI is 1760719553. The provider is registered as an organization entity type.

The provider's business location address is:

13 PELHAM RD
LEXINGTON, MA
ZIP 02421-707
Phone: (781) 274-6800
Fax: (781) 274-0900

The provider's authorized official is Abigail Ortiz .
The authorized official title is Youth Mentor and has the following contact phone number (781) 274-6800.

The CLIA number assigned to this NPI record is 22D1068004 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2009 and was last updated on 11/16/2009.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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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