NPIMap

Organization Active NPI

Department of Mental Health

  • Case Management Agency
  • Fitchburg, MA
National Provider Identifier
1114145992
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEPARTMENT OF MENTAL HEALTH
Practice address
515 Main St
Fitchburg, MA 01420
Phone
(978) 353-4433
NPI assigned
Apr 24, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Matthew Broderick
Title
Site Director
Phone
(978) 353-4433

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

Locations

515 Main St
Fitchburg, MA 01420
Phone (978) 353-4433

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

515 Main St
Fitchburg, MA 01420

Mailing address

25 Staniford St
Boston, MA 02114
Phone (617) 626-8040

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1802348MedicaidMA

Other names 1

NPPES NPI Registry
  • FITCHBURG - GARDNER CM Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2007.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1114145992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STANIFORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-626-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-353-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "978-353-4433"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802348",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FITCHBURG - GARDNER CM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.