Organization Active NPI

Unitas Healthcare Systems, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
National Provider Identifier
1073096624
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNITAS HEALTHCARE SYSTEMS, LLC
Practice address
1208 VFW Pkwy Ste 301
Boston, MA 02132-4344
Phone
(617) 401-7441
Fax
(617) 203-6651
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Roosevelt Lewis III, NURSE PRACTITIONERNPI 1649798133
Title
Nurse Practitioner / Owner
Phone
(617) 401-7441

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Home Health Agency 251E00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1208 VFW Pkwy Ste 301
Boston, MA 02132-4344

Mailing address

1208 VFW Pkwy Ste 301
Boston, MA 02132-4344
Phone (617) 401-7441

Other practice location 1

98-100 8th St
Ste 1
New Bedford, MA 02740
Phone (617) 401-7441

Other practice location 2

4 High St Ste 118
North Andover, MA 01845-2620
Phone (617) 401-7441

Other practice location 3

754 Plain St Ste 22
Marshfield, MA 02050-2101
Phone (617) 401-7441

National Provider Directory

National Provider Directory

Locations

1208 Vfw Pkwy
Ste 301
Boston, MA 02132
Phone (617) 401-7441

1485 Dorchester Ave
Ste 206
Dorchester, MA 02122
Phone (617) 265-5064

754 Plain St
Ste 22
Marshfield, MA 02050
Phone (617) 401-7441

4 High St
Ste 118
North Andover, MA 01845
Phone (617) 401-7441

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1073096624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 VFW PKWY STE 301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021324344",
            "telephone_number": "617-401-7441",
            "fax_number": "617-203-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 VFW PKWY STE 301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021324344",
            "telephone_number": "617-401-7441",
            "fax_number": "617-203-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-100 8th St",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "02740",
            "country_code": "US",
            "telephone_number": "617-401-7441",
            "fax_number": "617-203-6651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 High St Ste 118",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018452620",
            "country_code": "US",
            "telephone_number": "617-401-7441",
            "fax_number": "617-203-6651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "754 Plain St Ste 22",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "MA",
            "postal_code": "020502101",
            "country_code": "US",
            "telephone_number": "617-401-7441",
            "fax_number": "617-203-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITAS HEALTHCARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "617-401-7441",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.