Somerville Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

146400 Issued in MA

Legal business name

SOMERVILLE MENTAL HEALTH

Practice address

78 College Ave
Somerville, MA 02144-1916

Phone

(617) 629-6627

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Laurence Lee Raffel

Title

R.N.

Phone

(617) 629-6627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114047479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 COLLEGE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 COLLEGE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441916",
            "telephone_number": "617-629-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAFFEL",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "R.N.",
        "authorized_official_telephone_number": "617-629-6627"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "146400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somerville Family Dental, PC
• Somerville First Dental,LLC
• Somerville Home, Inc.
• Somerville Homeless Coalition
• Somerville Homeless Coalition
• Somerville Mental Health Association, Inc.
• Somerville Mental Health Association, Inc.
• Somerville Pediatric Dentistry and Orthodontics
• Somerville Pediatric Dentistry PC
• Somerville-Cambridge Elder Services

• Community/Behavioral Health Agency in Somerville, MA
• Providers in Somerville, MA by specialty
• Community/Behavioral Health Agency 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.