NPIMap

Organization Active NPI

Commonwealth of Massachusetts

  • Case Management Agency
  • Lowell, MA
National Provider Identifier
1205965258
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Practice address
55 Technology Dr
#202
Lowell, MA 01851
Phone
(978) 322-4300
NPI assigned
Mar 5, 2007
Organization subpart
Yes
Parent organization
COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dylan Lattimore
Title
Deputy Commissioner for Administrat
Phone
(857) 408-0675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

55 Technology Dr
#202
Lowell, MA 01851

Mailing address

40 Broad Street
4TH Floor
Boston, MA 02109
Phone (617) 727-5608

Other identifiers 2

IdentifierTypeStateIssuer
1813315MedicaidMA
110000085JMedicaidMA

Other names 2

  • DDS LOWELL AREA OFFICE Doing business as
  • DEPT OF DEVELOPMENTAL SERVICES - Lowell Area Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C Stanley Raymond146 organizations share this tax ID, including this one
Part of
C Stanley Raymond

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

325 Chelmsford St
Lowell, MA 01851
Phone (978) 455-4320

55 Technology Dr
#202
Lowell, MA 01851
Phone (978) 322-4300

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1205965258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROAD STREET",
            "address_2": "4TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-727-5608",
            "fax_number": "617-624-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TECHNOLOGY DR",
            "address_2": "#202",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851",
            "telephone_number": "978-322-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2007-03-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER FOR ADMINISTRAT",
        "authorized_official_telephone_number": "857-408-0675"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1813315",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000085J",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDS LOWELL AREA OFFICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEPT OF DEVELOPMENTAL SERVICES - Lowell Area Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.