NPIMap

Organization Active NPI

Fenway Community Health Center

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1174620686
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
113303 Issued in MA
Legal business name
FENWAY COMMUNITY HEALTH CENTER
Practice address
7 Haviland St
Boston, MA 02115-2683
Phone
(617) 267-0900
Fax
(617) 927-5410
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Mr. Carlos Vaquerano
Title
Mental Health Referral Coordinator
Phone
(617) 927-6073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 113303 MA Primary

Addresses

Primary practice location

7 Haviland St
Boston, MA 02115-2683

Mailing address

7 Haviland St
Boston, MA 02115-2683
Phone (617) 267-0900

National Provider Directory

National Provider Directory
Tax ID family
Fenway Comm Health Ctr6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

7 Haviland St
Boston, MA 02115
Phone (617) 267-0900

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1174620686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HAVILAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152683",
            "telephone_number": "617-267-0900",
            "fax_number": "617-927-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HAVILAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152683",
            "telephone_number": "617-267-0900",
            "fax_number": "617-927-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENWAY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "VAQUERANO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MENTAL HEALTH REFERRAL COORDINATOR",
        "authorized_official_telephone_number": "617-927-6073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "113303",
            "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 Mar 21, 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.