TILL INC (NPI# 1366990533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366990533 |
| Entity Type | Organization |
| Organization Name | TILL INC |
| Practice Address |
78 King St Dorchester MA 02122-2438 |
| Practice Telephone | 7813024659 |
| Mailing Telephone | 7813024659 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | YASENIA DUDLEY (BEHAVIOR THERAPIST) |
| Authorized Official Telephone | 7813024659 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1356899520 | Till Inc | Community/Behavioral Health | 272 Elm Ter, Mansfield, MA 02048-2641 | 2016-09-16 |
| 1841748019 | Till Inc | Community/Behavioral Health | 20 Walnut St Apt 2, Woburn, MA 01801-4277 | 2016-09-16 |
| 1164970331 | Till Inc | Community/Behavioral Health | 110 Parkview Dr Apt 21, Pawtucket, RI 02861-3967 | 2016-09-16 |
| 1063960235 | Till Inc | Community/Behavioral Health | 67 Juniper Rd, Holbrook, MA 02343-2148 | 2016-09-16 |
| Street Address |
78 KING ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216378 | Commonwealth Mental Health & Wellness Center | Community/Behavioral Health | 895 Blue Hill Ave Ste 1, Dorchester, MA 02124-2902 | 2019-07-11 |
| 1376090613 | Joel Berger | Community/Behavioral Health | 1100 Washington St Ste 206, Dorchester, MA 02124-5520 | 2016-09-03 |
| 1164806295 | Bay Cove Human Resources | Community/Behavioral Health | 863 Adams St, Dorchester, MA 02124 | 2015-07-18 |
| 1578903225 | Fyness Inc. | Community/Behavioral Health | 14b Trull St Apt 2, Dorchester, MA 02125-2186 | 2013-06-26 |
| 1972817096 | Familias Para El Progresso Y Cambio | Community/Behavioral Health | 54 Ruthven St, Dorchester, MA 02121-1611 | 2010-07-30 |
| 1932431673 | Dimock Community Health Center | Community/Behavioral Health | 25 Glenarm Street, Dorchester, MA 02121 | 2010-02-05 |
| 1386814283 | Eric Johnson | Community/Behavioral Health | 18 Harlow St, Dorchester, MA 02125-2614 | 2008-03-06 |
| 1649317595 | Bay Cove Human Services, Inc | Community/Behavioral Health | 105 Victory Rd, Dorchester, MA 02122-3518 | 2007-01-31 |
| 1013549310 | Jenna R Morgan | Community/Behavioral Health | 415 Neponset Ave Ste 3, Dorchester, MA 02122-3169 | 2020-02-05 |
| 1447713474 | Strive2beinc | Community/Behavioral Health | 40 Crestwood Park, Dorchester, MA 02121-1106 | 2019-04-08 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
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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.