Match Community Day Charter Public School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

04650105 Issued in MA

Legal business name

MATCH COMMUNITY DAY CHARTER PUBLIC SCHOOL

Practice address

215 Forest Hills St
Jamaica Plain, MA 02130-3302

Phone

(857) 203-9666

NPI assigned

Jan 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mike Larsson

Title

Executive Director

Phone

(781) 956-3706

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1134490329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151308",
            "telephone_number": "617-232-0300",
            "fax_number": "617-232-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FOREST HILLS ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303302",
            "telephone_number": "857-203-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCH COMMUNITY DAY CHARTER PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "LARSSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-956-3706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": "04650105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Masciulli, LCSW
• Maria D Mason
• Massachusetts Mental Health Center
• Massachusetts Society for the Prevention of Cruelty to Children
• Amy Lyn Mastrangelo, MSOTR/L
• Maurya Materazzo, MA
• Kathryn Matherly, OD
• Brittany Michelle Mathes Winnicki, PHD
• Diane Matos
• Kazune Matsuoka

• Local Education Agency (LEA) in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.