NPIMap

Organization Active NPI

Catholic Charitable Bureau of the Archdiocese of Boston, Inc.

  • Community/Behavioral Health Agency
  • South Boston, MA
National Provider Identifier
1003979014
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4082 Issued in MA
Legal business name
CATHOLIC CHARITABLE BUREAU OF THE ARCHDIOCESE OF BOSTON, INC.
Practice address
275 W Broadway
South Boston, MA 02127-1943
Phone
(617) 464-8569
Fax
(978) 777-4242
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Callie Ann Armstrong, LICSWNPI 1194034546
Title
Director of Clinical Services
Phone
(617) 464-8569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4082 MA Primary

Addresses

Primary practice location

275 W Broadway
South Boston, MA 02127-1943

Mailing address

275 W Broadway
South Boston, MA 02127-1943
Phone (617) 464-8500

Other practice location 1

280 Washington St
Salem, MA 01970-3640
Phone (978) 774-6820

Other identifiers 3

IdentifierTypeStateIssuer
1300105MedicaidMA
1311158MedicaidMA
110024365PMedicaidMA

Other names 2

  • Catholic Charities FCGC Doing business as
  • Family Counseling and Guidance Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000629 MA Part B Supplier - Clinic/Group Practice 3577471051 Receives reassigned benefits from 11 practitioners
Practice locations: Salem, MA; Boston, MA

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

152 Sylvan St
Danvers, MA 01923
Phone (800) 804-5041

280 Washington St
Salem, MA 01970
Phone (978) 740-6923

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1003979014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021271943",
            "telephone_number": "617-464-8500",
            "fax_number": "789-777-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021271943",
            "telephone_number": "617-464-8569",
            "fax_number": "978-777-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Washington St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019703640",
            "country_code": "US",
            "telephone_number": "978-774-6820",
            "fax_number": "978-777-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHOLIC CHARITABLE BUREAU OF THE ARCHDIOCESE OF BOSTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "617-464-8569",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300105",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311158",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024365P",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities FCGC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Charities FCGC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Counseling and Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.