NPIMap

Organization Active NPI

Ma Department of Youth Services

  • Public Health or Welfare Agency
  • Boston, MA
National Provider Identifier
1003038365
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MA DEPARTMENT OF YOUTH SERVICES
Practice address
27 Wormwood Street
Suite 400
Boston, MA 02210
Phone
(617) 727-7575
Fax
(617) 951-2409
NPI assigned
May 3, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Egan
Title
Budget Director
Phone
(617) 960-3258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

27 Wormwood Street
Suite 400
Boston, MA 02210

Mailing address

27 Wormwood Street
Suite 400
Boston, MA 02210
Phone (617) 727-7575

Other identifiers 1

IdentifierTypeStateIssuer
1803867MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Worcester State147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

27 Wormwood St
Ste 400
Boston, MA 02210
Phone (617) 727-7575

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1003038365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WORMWOOD STREET",
            "address_2": "SUITE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02210",
            "telephone_number": "617-727-7575",
            "fax_number": "617-951-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WORMWOOD STREET",
            "address_2": "SUITE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02210",
            "telephone_number": "617-727-7575",
            "fax_number": "617-951-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA DEPARTMENT OF YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BUDGET DIRECTOR",
        "authorized_official_telephone_number": "617-960-3258"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1803867",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.