Marblehead Community Charter Public School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MARBLEHEAD COMMUNITY CHARTER PUBLIC SCHOOL

Practice address

17 Lime Street
Marblehead, MA 01945

Phone

(781) 631-0777

NPI assigned

Aug 27, 2009

Last updated

Aug 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jed O'Connor

Title

Director of Special Education

Phone

(781) 631-0777

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1053544817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LIME STREET",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "781-631-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LIME STREET",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "781-631-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLEHEAD COMMUNITY CHARTER PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "781-631-0777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William W Macomber, MD
• Marianne D Magruder, LICSW
• Marc J Mahoney, LADC-II
• Carmela Mancini, DO, MPH
• Marblehead Chiropractic
• Marblehead Counseling Center Inc
• Marblehead Dental
• Marblehead Family Therapy and Wellness Corporation
• Marblehead Healthcare Solutions LLC (Devereux Skilled Nursing & Rehabilitation Center)
• Marblehead Ophthalmology 2 LLC

• Local Education Agency (LEA) in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.