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FAMILY SERVICE ASSOCIATION OF GREATER BOSTON NPI 1801916176


NPI Information

NPI: 1801916176
Provider Name: FAMILY SERVICE ASSOCIATION OF GREATER BOSTON

Doing Business As: FAMILY SERVICE OF GREATER BOSTON

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
31 HEATH ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 523-6400
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FAMILY SERVICE ASSOCIATION OF GREATER BOSTON is a community behavioral health in Jamaica Plain, 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. FAMILY SERVICE ASSOCIATION OF GREATER BOSTON NPI is 1801916176. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Service Of Greater Boston.

The provider's business location address is:

31 HEATH ST
JAMAICA PLAIN, MA
ZIP 02130-650
Phone: (617) 523-6400
Fax: (617) 523-3034

The provider's authorized official is Randal D Rucker .
The authorized official title is Chief Executive Officer and has the following contact phone number (617) 523-6400.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 12/29/2014.


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
1251S00000XCommunity/Behavioral Health4599MASSACHUSETTSYes

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
1P23746MEDICARE UPINMASSACHUSETTS
21309374MEDICAIDMASSACHUSETTS
3P04427MEDICARE UPINMASSACHUSETTS
41303414MEDICAIDMASSACHUSETTS
51309404MEDICAIDMASSACHUSETTS
6P05588MEDICARE UPINMASSACHUSETTS
7P21976MEDICARE UPINMASSACHUSETTS
8P22253MEDICARE UPINMASSACHUSETTS
9Y15080MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
10P10142MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
11Y10252MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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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