NPIMap

Organization Active NPI

Cambridge Eating Disorder Center

  • Mental Illness Community Based Residential Treatment Facility
  • Cambridge, MA
National Provider Identifier
1053550335
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
2671 Issued in MA
Legal business name
CAMBRIDGE EATING DISORDER CENTER
Practice address
3 Bow St
Cambridge, MA 02138-5109
Phone
(617) 547-2255
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Seda Ebrahimi
Title
Director
Phone
(617) 547-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 2671 MA Primary

Addresses

Primary practice location

3 Bow St
Cambridge, MA 02138-5109

Mailing address

3 Bow St
Cambridge, MA 02138-5109
Phone (617) 547-2255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1053550335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOW ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385109",
            "telephone_number": "617-547-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BOW ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385109",
            "telephone_number": "617-547-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE EATING DISORDER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI",
        "authorized_official_first_name": "SEDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-547-2255",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MA",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.