Active NPI
Brigham & Women'S Hospital
- Psychiatric Hospital
- Jamaica Plain, MA
National Provider Identifier
1003913096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 212429
- Legal business name
- BRIGHAM & WOMEN'S HOSPITAL
- Practice address
- 640 Centre St
Jamaica Plain, MA 02130-2555 - Phone
- (617) 983-4235
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Andrea Soler, LICSW
- Title
- Director of Mental Health Departmen
- Phone
- (617) 983-4225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 212429 | MA | Primary |
Addresses
Primary practice location
640 Centre St
Jamaica Plain, MA 02130-2555
Mailing address
640 Centre St
Jamaica Plain, MA 02130-2555
Phone (617) 983-4235
Other names 1
- Southern Jamaica Plain Health Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003913096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302555",
"telephone_number": "617-983-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302555",
"telephone_number": "617-983-4235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHAM & WOMEN'S HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SOLER",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH DEPARTMEN",
"authorized_official_telephone_number": "617-983-4225",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "MA",
"license": "212429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Jamaica Plain Health Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.