STRIVE2BEINC (NPI# 1447713474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447713474 |
Entity Type | Organization |
Organization Name | STRIVE2BEINC |
Practice Address |
40 Crestwood Park Dorchester MA 02121-1106 |
Mailing Address |
Po Box 190568 Roxbury MA 02119-0011 |
Practice Telephone | 6173129564 |
Mailing Telephone | 6173129564 |
Enumeration Date | 2019-04-08 |
Last Update Date | 2019-04-08 |
Authorized Official Name | JERRY SHORT (OWNER) |
Authorized Official Telephone | 6173129564 |
Authorized Official Credential | M.ED |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Strive 2 be inc | Former Legal Business Name - Organization |
Street Address |
40 CRESTWOOD PARK |
City | DORCHESTER |
State | MA |
Zip Code | 02121-1106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023348786 | Jerry Short | Counselor | 40 Crestwood Park, Dorchester, MA 02121-1106 | 2009-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417502071 | Zion Ventures Inc. | Registered Nurse | 22 Oldfields Road, Apt 1, Boston, MA 02121 | 2019-08-09 |
1245758275 | Danna Caliz | Social Worker | 321 Bluehill Ave, Boston, MA 02121 | 2017-08-30 |
1619490331 | Rashane Doyle | Developmental Therapist | 39 Mclellan St, Boston, MA 02121 | 2017-07-25 |
1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
1619415353 | Khisha Gillham | Registered Nurse | 356 Seaver St, Boston, MA 02121 | 2017-02-02 |
1396283149 | Spaulding | Rehabilitation Unit | 356 Sever St, Boston, MA 02121 | 2017-02-01 |
1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
1629498605 | Liana Marie Williams | Behavioral Analyst | 434 Warren St., Roxbury, MA 02121 | 2014-04-17 |
1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
Find all providers in zip 02121 |
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 |
1366990533 | Till Inc | Community/Behavioral Health | 78 King St, Dorchester, MA 02122-2438 | 2016-09-16 |
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 |
Find all providers in DORCHESTER |
City | DORCHESTER |
Zip Code | 02121 |
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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.