NPIMap

Organization Active NPI

North Soffolk Mental Health Association

  • Case Management Agency
  • Chelsea, MA
National Provider Identifier
1124273776
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1192 Issued in MA
Legal business name
NORTH SOFFOLK MENTAL HEALTH ASSOCIATION
Practice address
105 Bellingham St # 1
Chelsea, MA 02150-3201
Phone
(617) 912-7969
Fax
(617) 887-1889
NPI assigned
Nov 24, 2008
Organization subpart
Yes
Parent organization
NO BUSINESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Miss Mary Obeirne
Title
CSP Program Manager
Phone
(617) 912-7996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1192 MA Primary

Addresses

Primary practice location

105 Bellingham St # 1
Chelsea, MA 02150-3201

Mailing address

105 Bellingham St # 1
Chelsea, MA 02150-3201
Phone (617) 912-7969

Other identifiers 1

IdentifierTypeStateIssuer
1192MedicaidMA

Other names 1

  • Chelsea Collaborative Other name

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1124273776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BELLINGHAM ST # 1",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503201",
            "telephone_number": "617-912-7969",
            "fax_number": "617-887-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BELLINGHAM ST # 1",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503201",
            "telephone_number": "617-912-7969",
            "fax_number": "617-887-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOFFOLK MENTAL HEALTH ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO BUSINESS",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "OBEIRNE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CSP PROGRAM MANAGER",
        "authorized_official_telephone_number": "617-912-7996",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1192",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chelsea Collaborative",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chelsea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.