NPIMap

Organization Active NPI

Mab Community Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Allston, MA
National Provider Identifier
1023329414
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
64 C 110028905C Issued in MA
Legal business name
MAB COMMUNITY SERVICES, INC
Practice address
29 Denby Rd
Allston, MA 02134
Phone
(617) 830-5425
Fax
(617) 254-0208
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Ms. Barbara Salisbury
Title
Chief Executive Officer
Phone
(617) 732-0238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 64 C 110028905C MA Primary

Addresses

Primary practice location

29 Denby Rd
Allston, MA 02134

Mailing address

200 Ivy St
Brookline, MA 02446-3907
Phone (617) 738-5110

Other identifiers 1

IdentifierTypeStateIssuer
9738380MedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2074209Mab Community Services29 Denby Rd, Allston, MA 02134Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mab Community Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1023329414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 IVY ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463907",
            "telephone_number": "617-738-5110",
            "fax_number": "617-738-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DENBY RD",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "02134",
            "telephone_number": "617-830-5425",
            "fax_number": "617-254-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAB COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SALISBURY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-732-0238",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "64 C 110028905C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738380",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.