PELHAM ACADEMY (NPI# 1760719553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760719553 |
| Entity Type | Organization |
| Organization Name | PELHAM ACADEMY |
| Practice Address |
13 Pelham Rd Lexington MA 02421-5707 |
| Mailing Address |
13 Pelham Road Lexington MA 02421 |
| Practice Telephone | 7812746800 |
| Practice Fax Number | 7812740900 |
| Mailing Telephone | 7812746800 |
| Mailing Fax Number | 7812740900 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | MRS. ABIGAIL ORTIZ (YOUTH MENTOR) |
| Authorized Official Telephone | 7812746800 |
| Is Organization Subpart | Y |
| Parent Organization Name | JUSTICE RESOURCE INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
13 PELHAM RD |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689866881 | Rebecca Lee Bullis | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2007-08-13 |
| 1811504236 | Karen Rathjens | Social Worker | 13 Pelham Rd, Lexington, MA 02421-5707 | 2020-09-29 |
| 1114533221 | Luisa Ibner | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2020-09-23 |
| 1437678471 | Emily Denault | Social Worker | 13 Pelham Rd, Lexington, MA 02421-5707 | 2017-09-11 |
| 1730636630 | Erran Phillips | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2016-09-08 |
| 1689036766 | Janae Sernoffsky | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2016-03-28 |
| 1033586458 | Julie A Cummins | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2015-09-02 |
| 1871978726 | Sara Bonilla | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2015-07-21 |
| 1306234711 | Heidi Crampton | Counselor | 13 Pelham Rd, Lexington, MA 02421-5707 | 2015-01-07 |
| 1013305408 | Joanna Maulbeck | Social Worker | 13 Pelham Rd, Lexington, MA 02421-5707 | 2015-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487936449 | Florence Crittenton Home | Residential Treatment Facility, Emotionally Disturbed Children | 519 W Fourth St, Lexington, KY 40508-1205 | 2011-09-15 |
| 1356671192 | Sequel Tsi of Indiana, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2426 S Parker Ln, Lexington, IN 47138-8561 | 2009-12-29 |
| 1174675623 | A Greater Divine Place Inc | Residential Treatment Facility, Emotionally Disturbed Children | 366 Bremen Garden Dr, Lexington, NC 27295-6044 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128815 | Latham Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1646 Main St, Brewster, MA 02631-1716 | 2019-05-02 |
| 1104397488 | Hillcrest Educational Centers Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5 Ramsdell Rd, Great Barrington, MA 01230-1147 | 2018-12-11 |
| 1851717458 | Hopewell Inc | Residential Treatment Facility, Emotionally Disturbed Children | 141 Low St, Newburyport, MA 01950-3539 | 2014-03-07 |
| 1740601400 | Northeast Center for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 201 East St, Easthampton, MA 01027-1234 | 2013-12-26 |
| 1033547500 | The Home for Little Wanderers | Residential Treatment Facility, Emotionally Disturbed Children | 910 Ship Pond Rd, Plymouth, MA 02360-1849 | 2013-10-21 |
| 1649546300 | Clinton Paul Pina IIi | Residential Treatment Facility, Emotionally Disturbed Children | 503 Rockdale Ave, New Bedford, MA 02740-1460 | 2012-03-28 |
| 1922267335 | Eagleton School Inc | Residential Treatment Facility, Emotionally Disturbed Children | 446 Monterey Road, Great Barrington, MA 01230 | 2008-06-02 |
| 1104027499 | Valleyhead, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 79 Reservoir Rd, Lenox, MA 01240-2008 | 2007-05-31 |
| 1295944353 | Protestant Guild for Human Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 411waverly Oaks Rd, Suite 104, Waltham, MA 02452-8468 | 2007-05-22 |
| 1144439977 | Robert F. Kennedy Children's Action Corps, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 220 Old Common Rd, Lancaster, MA 01523-2208 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PELHAM ACADEMY.
| 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.