GAVIN FOUNDATION (NPI# 1396079414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396079414 |
| Entity Type | Organization |
| Organization Name | GAVIN FOUNDATION |
| Practice Address |
49 L St South Boston MA 02127-1511 |
| Mailing Address |
675 E 4th St South Boston MA 02127-3063 |
| Practice Telephone | 6172685000 |
| Practice Fax Number | 6172685008 |
| Mailing Telephone | 6172685517 |
| Mailing Fax Number | 6172693296 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |
| Authorized Official Name | MR. JOHN MCGAHAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6172685517 |
| Authorized Official Credential | LADC I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0853 | MA | Ambulatory Health Care Facilities |
| Street Address |
49 L ST |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891006177 | Thomas Edward Magnan | Counselor | 49 L St, South Boston, MA 02127-1511 | 2010-07-01 |
| 1417268715 | Michelle P Farmer | Counselor | 49 L St, South Boston, MA 02127-1511 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1760740625 | Dominion Health Medical Assoc | Clinic/Center | 2206 Wilborn Ave, South Boston, VA 24592 | 2012-04-30 |
| 1801175567 | Dominion Health Medical Associates | Clinic/Center | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2011-08-12 |
| 1366626624 | South Boston Community Health Center | Clinic/Center | 409 W Broadway, South Boston, MA 02127-2245 | 2007-12-21 |
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|---|---|---|---|---|
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| 1629689153 | Be Well Medica, LLC | Clinic/Center | 38 Willard Grant Rd, Sudbury, MA 01776-1035 | 2020-08-10 |
| 1649896283 | Community Health Center of Cape Cod, Inc. | Clinic/Center | 90 Route 6a, Sandwich, MA 02563-5301 | 2020-06-19 |
| 1194344713 | Snooze Laboratories, Inc | Clinic/Center | 122 Chestnut St Apt 101, Springfield, MA 01103-1541 | 2020-04-14 |
| 1861024457 | Treehouse Center for Sensory Integration | Clinic/Center | 19 Muzzey St # L20, Lexington, MA 02421-5256 | 2020-02-11 |
| 1982262184 | Nationwide Health Advocates LLC | Clinic/Center | 5 Pleasant St Ste 1, Methuen, MA 01844-3195 | 2019-06-03 |
| 1538622436 | Onduo Professionals of Texas, P.a. | Clinic/Center | 55 Chapel St Ste 200, Newton, MA 02458-1070 | 2019-04-09 |
| 1801357454 | Kelly Dumay Pogeyed Tuguinay | Clinic/Center | 2 Mcdewell Ave Apt 17, Danvers, MA 01923-3335 | 2019-03-27 |
| 1760949192 | Elizabeth Apkin Psyd LLC | Clinic/Center | 1577 Beacon St Ste D, Brookline, MA 02446-4602 | 2019-02-21 |
| 1578027975 | Chinne Health Systems LLC | Clinic/Center | 330 Lynnway Ste 112, Lynn, MA 01901-1706 | 2019-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
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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.