Codman Academy Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CODMAN ACADEMY CHARTER SCHOOL

Practice address

637 Washington St
Dorchester Center, MA 02124-3510

Phone

(617) 287-0700

Fax

(617) 287-9064

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Janet Govindan

Title

Special Education Director

Phone

(617) 287-0700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083835896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243510",
            "telephone_number": "617-287-0700",
            "fax_number": "617-287-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243510",
            "telephone_number": "617-287-0700",
            "fax_number": "617-287-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODMAN ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOVINDAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "617-287-0700"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1956060",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean B Charles, MD
• Chestnut Dermapathology Associates
• Carolyn Chu, MS, RD
• Gary Ciambrone, M.S. CCC-SLP
• Meghan Cobb, N.P.
• Codman Square Health Center
• Codman Square Health Center Inc
• Commonwealth Care Alliance, Inc.
• Commonwealth Hematology-Oncology, PC
• Comprehensivedentalcare

• Local Education Agency (LEA) in Dorchester Center, MA
• Providers in Dorchester Center, 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 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.

Verify at the official NPI Registry.