Roxbury Multi Service Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

ROXBURY MULTI SERVICE CENTER

Practice address

317 Blue Hill Ave
Dorchester, MA 02121-4302

Phone

(617) 427-4470

Fax

(617) 442-9419

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jane B. Gotshalk, LICSW

Title

Director of Clinical Services

Phone

(617) 427-4470

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1164557955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021214302",
            "telephone_number": "617-427-4470",
            "fax_number": "617-442-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021214302",
            "telephone_number": "617-427-4470",
            "fax_number": "617-442-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY MULTI SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "GOTSHALK",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "617-427-4470",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309587",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rotay
• Elena Rotfeld
• Jayden Sara Rouhi, DDS
• Matt Rouillard, MSW
• Monique M Roumo
• Roxbury Multi-Service Center
• RTW Essential Wellness LLC
• Rachel Rubin
• Bernadette Rucker, M.ED.
• Cedric Chauncey Rucker, M.A.,M.DIV

• Public Health or Welfare Agency in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Public Health or Welfare Agency in Massachusetts

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