ROXBURY COMPREHENSIVE COMMUNITY HEALTH CENTER (NPI# 1831306083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831306083 |
| Entity Type | Organization |
| Organization Name | ROXBURY COMPREHENSIVE COMMUNITY HEALTH CENTER |
| Practice Address |
435 Warren St Roxbury MA 02119-1833 |
| Practice Telephone | 6174427400 |
| Mailing Telephone | 6174427400 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANITA L. CRAWFORD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6174427400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| X | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
435 WARREN ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932266533 | Roxbury Comprehensive Community Health Center, Inc. | Clinic/Center | 435 Warren St, Roxbury, MA 02119-1833 | 2007-01-02 |
| 1174872147 | Jeannie Marie Baca | Student in an Organized Health Care Education/Training Program | 435 Warren St, Roxbury, MA 02119-1833 | 2012-09-05 |
| 1215290754 | Kandis Alexis Smith | Dentist | 435 Warren St, Roxbury, MA 02119-1833 | 2012-06-20 |
| 1467724203 | Janet Cohen Zwiebel | Psychologist | 435 Warren St, Roxbury, MA 02119-1833 | 2012-02-08 |
| 1720360134 | Katherine Thayer | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-09-12 |
| 1134401540 | Rochelle James | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-09-12 |
| 1487953329 | Jewell M Simmons | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-03-17 |
| 1861701534 | Michelle Lee Edwards | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-29 |
| 1437467636 | Liana Angele Papaleo | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-22 |
| 1528375854 | Safaa A Shaheen | Student in an Organized Health Care Education/Training Program | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661511 | A Bucket for The Well LLC. | Counselor | 100 Warren St Ste 1a, Roxbury, MA 02119-3259 | 2020-08-28 |
| 1689292831 | Maria Pia Biggs | Counselor | 409 Walnut Ave, Roxbury, MA 02119-3133 | 2020-07-13 |
| 1699322313 | Kristen Lourens | Counselor | 64b Regent St, Roxbury, MA 02119-1980 | 2019-08-19 |
| 1366954570 | Anthony Dewayne Quarles Jr. | Counselor | 520 Dudley St Fl 2, Roxbury, MA 02119-2769 | 2017-10-27 |
| 1043694060 | Jennifer Price | Counselor | 82 Rockland St, Apt. 3f, Roxbury, MA 02119-1966 | 2015-07-20 |
| 1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
| 1154749331 | Keyana Jones | Counselor | 11 Roxbury St Fl 2, Roxbury, MA 02119-1720 | 2014-04-03 |
| 1902221344 | Lakia Cherry | Counselor | 11 Roxbury St, Second Floor, Roxbury, MA 02119-1720 | 2014-02-21 |
| 1942633748 | Gelen Zepeda | Counselor | 1544 Columbus Ave, Roxbury, MA 02119-1026 | 2013-08-15 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in ROXBURY | ||||
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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.