MASS MENTAL HEALTH CENTER (NPI# 1881954741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881954741 |
| Entity Type | Organization |
| Organization Name | MASS MENTAL HEALTH CENTER |
| Practice Address |
75 Fenwood Rd Boston MA 02115-6103 |
| Practice Telephone | 6176269727 |
| Mailing Telephone | 6176269727 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | EMILIE E HOWARD (RN) |
| Authorized Official Telephone | 6176269727 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
RN147503 | MA | Ambulatory Health Care Facilities |
| Street Address |
75 FENWOOD RD |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952495053 | Paul V Wikstrom | Social Worker | 75 Fenwood Rd, Boston, MA 02115-6103 | 2006-10-03 |
| 1649892209 | Victoria Elizabeth Webster | Counselor | 75 Fenwood Rd, Boston, MA 02115-6103 | 2020-05-17 |
| 1861014409 | James Bolten Green | Counselor | 75 Fenwood Rd, Boston, MA 02115-6103 | 2020-05-16 |
| 1942834569 | Rakiatu O Sesay | Registered Nurse | 75 Fenwood Rd, Boston, MA 02115-6103 | 2020-02-24 |
| 1225661887 | Melissa Stacey Bianchi-coppola | Registered Nurse | 75 Fenwood Rd, Boston, MA 02115-6103 | 2020-02-21 |
| 1932732575 | Leonardo Arcotta | Registered Nurse | 75 Fenwood Rd, Boston, MA 02115-6103 | 2020-02-21 |
| 1881238103 | Kristen Kilgallen | Student in an Organized Health Care Education/Training Program | 75 Fenwood Rd, Boston, MA 02115-6103 | 2019-10-30 |
| 1346890589 | Pauline Bernadette Dimaano | Clinic/Center | 75 Fenwood Rd, Boston, MA 02115-6103 | 2019-09-19 |
| 1154892537 | Jasmine Mote | Psychologist | 75 Fenwood Rd, Boston, MA 02115-6103 | 2018-12-11 |
| 1861968604 | Matthew Aaron Hagler | Counselor | 75 Fenwood Rd, Boston, MA 02115-6103 | 2018-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164994232 | Commonwealth Collaborative Care, LLC | Clinic/Center | 143 Newbury St Ste 4, Boston, MA 02116-2925 | 2018-12-29 |
| 1912512260 | Souls Sprout Mindful Care, Inc | Clinic/Center | 800 Boylston St Fl 16, Boston, MA 02199-7637 | 2020-09-14 |
| 1114561776 | Sparsha S Reddy Md Pllc | Clinic/Center | 399 Boylston St Ste 900b, Boston, MA 02116-3305 | 2019-11-06 |
| 1871150540 | Lesley Fields Psyd LLC | Clinic/Center | 75 Arlington St Fl 5, Boston, MA 02116-3936 | 2019-05-28 |
| 1336705631 | Rachel Duda Psyd LLC | Clinic/Center | 45 Newbury St Ste 333, Boston, MA 02116-3177 | 2019-05-13 |
| 1770148470 | Nicole Charos Pllc | Clinic/Center | 330 Brookline Ave # Rabb2, Boston, MA 02215-5491 | 2019-05-08 |
| 1972098937 | Harwal Healing Alliance PC | Clinic/Center | 399 Boylston St Ste 900, Boston, MA 02116-3305 | 2018-06-22 |
| 1023522927 | Dr. Laura Fasciano LLC | Clinic/Center | 101 Arch St Fl 8, Boston, MA 02110-7500 | 2017-11-30 |
| 1619481470 | Cascade Counseling & Wellness | Clinic/Center | 29 Commonwealth Ave Ste 902, Boston, MA 02116-2349 | 2017-11-30 |
| 1851774053 | Helen M. Farrell, M.d., LLC | Clinic/Center | 29 Commonwealth Ave, Suite 906, Boston, MA 02116-2349 | 2015-07-07 |
| Find all providers in BOSTON | ||||
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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.