Organization Active NPI

Boston Partners in Mentoring Inc

  • Point of Service
  • Roxbury Crossing, MA
National Provider Identifier
1124290325
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
1096 Issued in MA
Legal business name
BOSTON PARTNERS IN MENTORING INC
Practice address
54 Lawn St
Roxbury Crossing, MA 02120-3325
Phone
(857) 383-9941
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mr. Eugene L Jones, MSW/LADCINPI 1073340477
Title
Contracting Contact
Phone
(617) 306-6812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 1096 MA Primary

Addresses

Primary practice location

54 Lawn St
Roxbury Crossing, MA 02120-3325

Mailing address

PO Box 181124
Boston, MA 02118-0012

Other identifiers 1

IdentifierTypeStateIssuer
1386824746OtherMANEIGHBORHOOD HEALTH PLAN

National Provider Directory

National Provider Directory

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1124290325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181124",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021180012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LAWN ST",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021203325",
            "telephone_number": "857-383-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PARTNERS IN MENTORING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTRACTING CONTACT",
        "authorized_official_telephone_number": "617-306-6812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW/LADCI"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1386824746",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury Crossing, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.