NPIMap

Organization Active NPI

Simmons College Health Center

  • Health Service Clinic/Center
  • Boston, MA
National Provider Identifier
1144575093
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SIMMONS COLLEGE HEALTH CENTER
Practice address
94 Pilgrim Rd
Boston, MA 02215-4127
Phone
(617) 521-1020
NPI assigned
Jul 17, 2012
Organization subpart
Yes
Parent organization
SIMMONS COLLEGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Kay M Petersen, M.D.
Title
Medical Directot
Phone
(617) 521-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA Primary

Addresses

Primary practice location

94 Pilgrim Rd
Boston, MA 02215-4127

Mailing address

94 Pilgrim Rd
Boston, MA 02215-4127
Phone (617) 521-1020

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0676421Simmons College Health Center94 Pilgrim Rd, Boston, MA 02215Provider-performed microscopyJan 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Simmons College2 organizations share this tax ID, including this one
Part of
Simmons College

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1144575093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PILGRIM RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154127",
            "telephone_number": "617-521-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PILGRIM RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154127",
            "telephone_number": "617-521-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS COLLEGE HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMMONS COLLEGE",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOT",
        "authorized_official_telephone_number": "617-521-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.