NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. (NPI# 1740209881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740209881 |
| Entity Type | Organization |
| Organization Name | NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. |
| Practice Address |
14 Porter St East Boston MA 02128-2116 |
| Mailing Address |
301 Broadway Chelsea MA 02150-2807 |
| Practice Telephone | 6175693189 |
| Practice Fax Number | 6175697890 |
| Mailing Telephone | 6178894860 |
| Mailing Fax Number | 6178894635 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | JACKIE K. MOORE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6179127910 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4027 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1304178 | 05 | |
| MA | MASS. BEHAVIORAL HEALTH PARTNERSHIP NODDLES ISLAND | A012487 | 01 |
| MA | 1301926 | 05 | |
| MA | NETWORK HEALTH | 996251-01 | 01 |
| MA | TUFTS HEALTH PLANS | 708502 | 01 |
| MA | BEACON HEALTH STRATEGIES | 1002420 | 01 |
| MA | 1301659 | 05 | |
| MA | MAGELLAN BEHAVIORAL HLTH | 214325 | 01 |
| MA | BMC HEALTHNET | 7216 | 01 |
| MA | 1307398 | 05 | |
| MA | 1303147 | 05 | |
| MA | MASS. BEHAVIORAL HEALTH PARTNERSHIP | A011775 | 01 |
| MA | BLUE CROSS OF MA | M18732 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255481107 | North Suffolk Mental Health Association, Inc. | Clinic/Center | 530 Border St, East Boston, MA 02128-2432 | 2007-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. | 301 Broadway, Chelsea, MA 02150-2807 |
| Massachusetts Corporations | NORTH SUFFOLK MENTAL HEALTH ASSOCIATION, INC. | 301 Broadway, Chelsea, MA 02150 |
| Street Address |
14 PORTER ST |
| City | EAST BOSTON |
| State | MA |
| Zip Code | 02128-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876859 | Alexandra P Downey | Social Worker | 14 Porter St, East Boston, MA 02128-2116 | 2020-06-22 |
| 1750922449 | Tyler Matthew Sullivan | Registered Nurse | 14 Porter St, East Boston, MA 02128 | 2019-10-03 |
| 1073876066 | Allison Clancy | Counselor | 14 Porter St, East Boston, MA 02128-2116 | 2012-06-24 |
| 1427380690 | Christina Lyn Murray | Case Manager/Care Coordinator | 14 Porter St, East Boston, MA 02128-2116 | 2010-02-12 |
| 1063744241 | Stephanie Ann Goncalves | Case Manager/Care Coordinator | 14 Porter St, East Boston, MA 02128-2116 | 2010-02-12 |
| 1487986675 | Eloisa Haydee Sanchez | Case Manager/Care Coordinator | 14 Porter St, East Boston, MA 02128-2116 | 2010-02-12 |
| 1033448063 | Elizabeth C. Mauro | Social Worker | 14 Porter St, East Boston, MA 02128-2116 | 2009-12-22 |
| 1386979326 | Sarah Kay Slagsvol | Social Worker | 14 Porter St, East Boston, MA 02128-2116 | 2009-10-08 |
| 1134358898 | Chika Watanabe | Counselor | 14 Porter St, East Boston, MA 02128-2116 | 2009-07-02 |
| 1407092778 | Christian F Nunez | Psychiatric Residential Treatment Facility | 14 Porter St, East Boston, MA 02128-2116 | 2008-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1750528352 | Central Square Medical Center Inc | Clinic/Center | 40 Central Sq, East Boston, MA 02128-1911 | 2009-01-19 |
| 1811167596 | American Current Care of Massachusetts PC | Clinic/Center | 1 Harborside Dr, East Boston, MA 02128-2907 | 2008-03-10 |
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| 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 |
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| Find all providers with the same taxonomy | ||||
| City | EAST BOSTON |
| Zip Code | 02128 |
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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.