TRUSTEES OF BOSTON UNIVERSITY (NPI# 1053419598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053419598 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF BOSTON UNIVERSITY |
| Other Organization Name | THE DANIELSEN INSTITUTE |
| Practice Address |
185 Bay State Rd Boston MA 02215-1506 |
| Practice Telephone | 6173533047 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARA ELLIS (DIRECTOR OF FINANCES) |
| Authorized Official Telephone | 6173533047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
4405 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS-LICSW | P10340 | 01 |
| MA | TUFTS | 734176 | 01 |
| MA | BEACON HEALTH STRATEGIES | 1005000 | 01 |
| MA | CHICKERING | 0005525710 | 01 |
| MA | BCBS-PSYCHOLOGISTS | W10575 | 01 |
| MA | MAGELLAN | 290252 | 01 |
| MA | BLUE CROSS BLUE SHIELD | M18665 | 01 |
| MA | BCBS-PSYCHIATRISTS | M18666 | 01 |
| MA | BCBS-LMHC | LMG104 | 01 |
| Other Name | Type Code |
|---|---|
| The Danielsen Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242239 | Trustees of Boston University | Nutritionist | 635 Commonwealth Ave., 6th Floor, Boston, MA 02215-1605 | 2009-10-06 |
| 1174701189 | Trustees of Boston University | Clinical Medical Laboratory | 24 Cummington St, Room 724, Boston, MA 02215-2425 | 2008-02-01 |
| 1265419568 | Trustees of Boston University | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2005-12-28 |
| 1578909750 | Trustees of Boston University | Dentist | 840 Harrison Ave, Boston, MA 02118-2905 | 2013-05-15 |
| 1053757245 | Trustees of Boston University | Dentist | 110 Francis St, Boston, MA 02215-5501 | 2013-05-15 |
| 1326483074 | Trustees of Boston University | Dentist | 725 Albany St, Boston, MA 02118-2526 | 2013-05-08 |
| 1821221524 | Trustees of Boston University | Dentist | 850 Harrison Ave, 5th Floor, Boston, MA 02118-4001 | 2009-08-27 |
| 1720211428 | Trustees of Boston University | Dentist | 30 Warren St, Boston, MA 02135-3602 | 2009-08-27 |
| 1043443732 | Trustees of Boston University | Dentist | 88 E Newton St, Boston, MA 02118-2308 | 2009-08-27 |
| 1285867986 | Trustees of Boston University | Dentist | 830 Harrison Ave, Boston, MA 02118-2905 | 2009-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Trustees of Boston University | One Silber Way, Boston, Massachusetts 02215 |
| Iowa Business Entities | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
| Massachusetts Corporations | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
| Washington State Corporations | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
| Colorado Business Entities | Trustees of Boston University | One Silber Way, Boston, MA 02215 |
| Oklahoma Business Registrations | TRUSTEES OF BOSTON UNIVERSITY | Attn: Todd Klipp, General Counsel, Boston University, One Silber Way, Boston, MA 02215 |
| Street Address |
185 BAY STATE RD |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536503 | Jessica Roffe | Counselor | 185 Bay State Rd, Boston, MA 02215-1506 | 2019-09-05 |
| 1861047169 | Han Bertrand | Social Worker | 185 Bay State Rd, Boston, MA 02215-1506 | 2019-08-05 |
| 1053804971 | Shirin Kazimov | Student in an Organized Health Care Education/Training Program | 185 Bay State Rd, Boston, MA 02215-1506 | 2018-06-14 |
| 1780177105 | Rebecca Marcelina Gimeno | Student in an Organized Health Care Education/Training Program | 185 Bay State Rd, Boston, MA 02215-1584 | 2018-06-11 |
| 1730685298 | Arnold Rex Ladrido Kintanar | Counselor | 185 Bay State Rd, Boston, MA 02215-1584 | 2018-04-03 |
| 1346799137 | Selina Guerra | Psychologist | 185 Bay State Rd, Boston, MA 02215-1506 | 2016-09-22 |
| 1568910693 | Chance Bell | Marriage & Family Therapist | 185 Bay State Rd, Boston, MA 02215-1506 | 2016-09-19 |
| 1588040760 | The Danielsen Institute At Boston University | Clinic/Center | 185 Bay State Rd, Boston, MA 02215-1506 | 2015-08-10 |
| 1871979450 | Rasha Chimene Khalaf | Psychologist | 185 Bay State Rd, Boston, MA 02215-1506 | 2015-08-05 |
| 1235533977 | Jennifer Martha Krier | Social Worker | 185 Bay State Rd, Boston, MA 02215-1506 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1982248332 | Alexandra Askenazi Marcus | Clinic/Center | 55 Hemenway St Apt 1, Boston, MA 02115-2905 | 2019-10-29 |
| 1063923423 | Enzo Finore Psyd LLC | Clinic/Center | 896 Beacon St Ste 304, Boston, MA 02215-3033 | 2017-10-12 |
| 1831575091 | Monte Nido Massachusetts, LLC | Clinic/Center | 419 Boylston St Ste 501b, Boston, MA 02116-3310 | 2015-08-10 |
| 1346890589 | Pauline Bernadette Dimaano | Clinic/Center | 75 Fenwood Rd, Boston, MA 02115-6103 | 2019-09-19 |
| 1316592199 | Alexandra Strack, LLC | Clinic/Center | 10 Newbury St Fl 4, Boston, MA 02116-3290 | 2019-08-07 |
| 1801360763 | Dr Dan Greif | Clinic/Center | 75 Arlington St, Boston, MA 02116-3936 | 2019-01-14 |
| 1063989085 | Kristen Ihde, Psyd LLC | Clinic/Center | 75 Arlington St Ste 500, Boston, MA 02116-3936 | 2018-10-29 |
| 1588040760 | The Danielsen Institute At Boston University | Clinic/Center | 185 Bay State Rd, Boston, MA 02215-1506 | 2015-08-10 |
| 1073904991 | Alexandra Strack, LLC | Clinic/Center | 29 Commonwealth Ave, Suite 906, Boston, MA 02116-2349 | 2015-02-13 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.