NPIMap

Organization Active NPI

Commonwealth of Massachusetts

  • Case Management Agency
  • Wakefield, MA
National Provider Identifier
1104943869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Practice address
27 Water St
Wakefield, MA 01880-3032
Phone
(781) 224-7900
Fax
(781) 224-7937
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Simons
Title
Site Director
Phone
(781) 224-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

27 Water St
Wakefield, MA 01880-3032

Mailing address

27 Water St
Wakefield, MA 01880-3032
Phone (781) 224-7900

Other identifiers 1

IdentifierTypeStateIssuer
1802216MedicaidMA

Other names 1

  • Department of Mental Health - Wakefield Area Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C Stanley Raymond146 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104943869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WATER ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803032",
            "telephone_number": "781-224-7900",
            "fax_number": "781-224-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WATER ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803032",
            "telephone_number": "781-224-7900",
            "fax_number": "781-224-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "781-224-7900"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802216",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Mental Health - Wakefield Area Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, 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.

Verify at the official NPI Registry.