Organization Active NPI

J.L Smith Suicide Prevention Center for Young Black Boys Inc

  • Community/Behavioral Health Agency
  • Boston, MA
National Provider Identifier
1083580591
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
J.L SMITH SUICIDE PREVENTION CENTER FOR YOUNG BLACK BOYS INC
Practice address
66 Monadnock St
Boston, MA 02125-2306
Phone
(781) 204-5006
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
John Smith-St. CyereNPI 1639563802
Title
Founder & Executive Director
Phone
(781) 204-5006

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

66 Monadnock St
Boston, MA 02125-2306

Mailing address

66 Monadnock St
Dorchester, MA 02125-2306
Phone (781) 204-5006

National Provider Directory

National Provider Directory

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": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1083580591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MONADNOCK ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252306",
            "telephone_number": "781-204-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MONADNOCK ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021252306",
            "telephone_number": "781-204-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.L SMITH SUICIDE PREVENTION CENTER FOR YOUNG BLACK BOYS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "SMITH-ST. CYERE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FOUNDER & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-204-5006"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 13, 2025; 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.