COMMONWEALTH OF MASSACHUSETTS (NPI# 1053438739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053438739 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF MASSACHUSETTS |
| Other Organization Name | DEPARTMENT OF MENTAL HEALTH - FULLER MENTAL HEALTH CENTER |
| Practice Address |
85 E Newton St Boston MA 02118-2340 |
| Practice Telephone | 6176268700 |
| Practice Fax Number | 6176268929 |
| Mailing Telephone | 6176268700 |
| Mailing Fax Number | 6176268929 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROL VANBOMMEL (SITE DIRECTOR) |
| Authorized Official Telephone | 6176268700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1802399 | 05 |
| Other Name | Type Code |
|---|---|
| Department of Mental Health - Fuller Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407973688 | Commonwealth of Massachusetts | Case Management | 180 Cabot St, Beverly, MA 01915-5847 | 2007-03-23 |
| 1386773273 | Commonwealth of Massachusetts | Case Management | 20 Academy St, Arlington, MA 02476-6401 | 2007-03-05 |
| 1205965258 | Commonwealth of Massachusetts | Case Management | 325 Chelmsford St, Lowell, MA 01851-4429 | 2007-03-05 |
| 1144768045 | Commonwealth of Massachusetts | Community Based Residential Treatment Facility, Mental Illness | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-10 |
| 1902240047 | Commonwealth of Massachusetts | Clinic/Center | 101 Academy Dr, Health Services, Buzzards Bay, MA 02532-3405 | 2013-04-19 |
| 1104943869 | Commonwealth of Massachusetts | Case Management | 27 Water St, Wakefield, MA 01880-3032 | 2007-03-26 |
| 1285751958 | Commonwealth of Massachusetts | Case Management | 85 E Newton St, Boston, MA 02118-2340 | 2007-03-26 |
| 1104943885 | Commonwealth of Massachusetts | Case Management | 25 Staniford St, Boston, MA 02114-2503 | 2007-03-26 |
| 1578680252 | Commonwealth of Massachusetts | Case Management | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2007-03-26 |
| 1679690770 | Commonwealth of Massachusetts | Case Management | 112 Market St, Lynn, MA 01901-1125 | 2007-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COMMONWEALTH OF MASSACHUSETTS CONTRACTORS | 1915 Seven Arrow Dr, Colorado Springs, CO 80915 |
| Massachusetts Corporations | COMMONWEALTH OF MASSACHUSETTS HARBORMASTERS AND MARITIME PROFESSIONALS ASSOCIATION, INCORPORATED | 1639 Ocean Street, Marshfield, MA 02050 |
| System for Award Management (SAM) Entities | COMMONWEALTH OF MASSACHUSETTS MIDDLESEX DISTRICT ATTORNEY, THE | 15 Commonwealth Ave Ste 300, Woburn, MA 01801-5194 |
| Street Address |
85 E NEWTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752537 | Maryann Whalen Campion | Genetic Counselor, MS | 85 E Newton St, M913, Boston, MA 02118-2340 | 2005-10-04 |
| 1407457336 | Samantha Kruger | Social Worker | 85 E Newton St, Boston, MA 02118-3553 | 2020-11-06 |
| 1508472523 | Buneshte Kombiz Hakhamaneshy | Counselor | 85 E Newton St, Boston, MA 02118-3553 | 2020-09-16 |
| 1831721638 | Jennifer Driscoll | Counselor | 85 E Newton St, Boston, MA 02118-2389 | 2020-02-10 |
| 1780224071 | Anne D Womer | Social Worker | 85 E Newton St, Boston, MA 02118-3553 | 2020-01-14 |
| 1699319053 | Lauren Dushay | Social Worker | 85 E Newton St, Boston, MA 02118-2389 | 2019-10-29 |
| 1366094203 | Emily Carlson | Counselor | 85 E Newton St, Boston, MA 02118-2841 | 2019-07-11 |
| 1093376428 | Hannah Daley | Counselor | 85 E Newton St, Boston, MA 02118-2841 | 2019-06-26 |
| 1821655382 | Shaynne Bulgar | Social Worker | 85 E Newton St, Boston, MA 02118-2841 | 2019-05-21 |
| 1275094153 | Lenora D. Benson | Social Worker | 85 E Newton St, Boston, MA 02118-2841 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770136418 | Caregiver Homes of North Carolina Inc | Case Management | 120 St. James Ave., Seniorlink, Boston, MA 02116-3740 | 2019-07-22 |
| 1932761186 | Caregiver Homes of Georgia Inc | Case Management | 120 St. James Ave, Seniorlink, Boston, MA 02116-3740 | 2019-07-08 |
| 1649741125 | Boston Senior Home Care | Case Management | 89 South St Ste 501, Boston, MA 02111-2748 | 2018-12-10 |
| 1952898330 | New Beginnings Reentry Services, Inc. | Case Management | 22 Drydock Ave Ofc 3, Boston, MA 02210-2386 | 2018-04-20 |
| 1811432271 | Homestart | Case Management | 105 Chauncy Street, Boston, MA 02111 | 2016-12-21 |
| 1881070142 | Happy Hearts LLC | Case Management | 14051 Cameron Ct, Boston, VA 22713-4216 | 2015-08-09 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1982933206 | Advance Medical, Inc. | Case Management | 201 Brookline Ave, Boston, MA 02215-3325 | 2009-12-16 |
| 1760627772 | Boston Senior Home Care | Case Management | 89 South St, Suite 501, Boston, MA 02111-2651 | 2008-12-04 |
| 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.