MATTAPAN COMMUNITY HEALTH CENTER INC (NPI# 1942869342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942869342 |
| Entity Type | Organization |
| Organization Name | MATTAPAN COMMUNITY HEALTH CENTER INC |
| Practice Address |
1575 Blue Hill Ave Boston MA 02126-2122 |
| Practice Telephone | 6172960061 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | GUALE VALDEZ (PRESIDENT & CEO) |
| Authorized Official Telephone | 6172960061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639240393 | Mattapan Community Health Center Inc | Clinic/Center | 1575 Blue Hill Ave, Mattapan, MA 02126-2122 | 2006-11-13 |
| Street Address |
1575 BLUE HILL AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02126-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921637 | Hannah Margaret Cheeseman | Nurse Practitioner | 1575 Blue Hill Ave, Boston, MA 02126-2122 | 2018-08-08 |
| 1114424652 | Zhen Ruan | Dental Hygienist | 1575 Blue Hill Ave, Boston, MA 02126-2122 | 2018-04-11 |
| 1184144651 | Jason Lanier Outlaw | Dentist | 1575 Blue Hill Ave, Boston, MA 02126-2122 | 2017-06-26 |
| 1356798672 | Sarah Arlick | Nurse Practitioner | 1575 Blue Hill Ave, Boston, MA 02126-2122 | 2016-05-17 |
| 1437587219 | Bridget Basile Ibrahim | Nurse Practitioner | 1575 Blue Hill Ave, Mattapan Community Health Center, Boston, MA 02126-2122 | 2013-10-14 |
| 1326273442 | Guirlene Jean-simon | Nurse Practitioner | 1575 Blue Hill Ave, Boston, MA 02126 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| 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 |
|---|---|---|---|---|
| 1639678253 | Alison Renee Greco | Clinic/Center | 20 Newbury St Ste 4, Boston, MA 02116-3289 | 2018-02-09 |
| 1629448964 | Tiffany Douglas | Clinic/Center | 1 Soldiers Field Park, Apt 501, Boston, MA 02163-1722 | 2015-09-29 |
| 1972930063 | Massachusetts Mind Center LLC | Clinic/Center | 376 Boylston St, Ste 403, Boston, MA 02116-3812 | 2013-10-03 |
| 1043340326 | Latino Health Institute Inc | Clinic/Center | 95 Berkeley St Fl 6, Boston, MA 02116-6230 | 2007-03-06 |
| 1902410640 | Talk2me LLC | Clinic/Center | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-09-01 |
| 1811405830 | Collins Medical Consulting | Clinic/Center | 70 Fulton St, Boston, MA 02109-1402 | 2018-01-11 |
| 1750799110 | Mcphs University | Clinic/Center | 179 Longwood Ave, Boston, MA 02115-5804 | 2014-07-30 |
| 1306259692 | Copley Dental Emergency Care | Clinic/Center | 551 Boylston St, Suite 501, Boston, MA 02116-3605 | 2014-06-04 |
| 1952687881 | Massachusetts Eye and Ear | Clinic/Center | 800 Huntington Ave, Boston, MA 02115-6303 | 2011-10-24 |
| 1982848222 | Massachusetts General Physicians Organization | Clinic/Center | 151 Merrimac St, 5th Floor, Boston, MA 02114-4714 | 2009-04-30 |
| 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.