NPIMap

Organization Active NPI

Pinestreet Inn

  • Addiction (Substance Use Disorder) Counselor
  • Jamaica Plain, MA
National Provider Identifier
1184981284
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PINESTREET INN
Practice address
170 Morton St
Jamaica Plain, MA 02130-3735
Phone
(617) 892-9451
Fax
(617) 521-7261
NPI assigned
Apr 13, 2012
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Mrs. Lyndia Downey
Title
Executive Director
Phone
(617) 892-9105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0817 MA

Addresses

Primary practice location

170 Morton St
Jamaica Plain, MA 02130-3735

Mailing address

444 Harrison Ave
Boston, MA 02118-2404
Phone (617) 892-9451

National Provider Directory

National Provider Directory
Tax ID family
Pine Street Inn4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1184981284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182404",
            "telephone_number": "617-892-9451",
            "fax_number": "617-521-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-892-9451",
            "fax_number": "617-521-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINESTREET INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "LYNDIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-892-9105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MA",
            "license": "0817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.