Active NPI
Caspar, Inc.
- Community/Behavioral Health Agency
- Somerville, MA
National Provider Identifier
1063575991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0538
- Legal business name
- CASPAR, INC.
- Practice address
- 162 Highland Ave
Somerville, MA 02143-1506 - Phone
- (617) 623-2080
- NPI assigned
- Dec 19, 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
- Gail Enman
- Title
- Executive Director
- Phone
- (617) 628-3850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0538 | MA | Primary |
Addresses
Primary practice location
162 Highland Ave
Somerville, MA 02143-1506
Mailing address
315 Highland Ave
Somerville, MA 02144-3230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306561 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
3 Summit Ave
Somerville, MA 02143
Phone (617) 776-6036
242 Highland Ave
Somerville, MA 02143
Phone (617) 628-8188
16 Highland Ave
Somerville, MA 02143
Phone (617) 623-5277
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Boston, MA
- NPI 1306294764
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": "1598054400000",
"number": "1063575991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 HIGHLAND AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021443230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 HIGHLAND AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431506",
"telephone_number": "617-623-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASPAR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ENMAN",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "617-628-3850"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": "0538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306561",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, 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.