Individual provider Active NPI

Alix Marcelle Zamansky, B.A.

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1215296165
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
76932643 Issued in MA
Practice address
161 S Huntington Ave
Boston, MA 02130-4885
Phone
(617) 232-8610
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 76932643 MA Primary

Addresses

Primary practice location

161 S Huntington Ave
Boston, MA 02130-4885

Mailing address

137 Paul Gore St Apt 2
Boston, MA 02130-1814
Phone (617) 584-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429001900 MA Practitioner - Clinical Social Worker 4284043431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family and Community Solutions IncGroup PAC ID 6901898220, 8 clinicians

Practice addresses (Care Compare)

77 B Warren St
BLDG 2
Brighton, MA 02135-3601
Phone (617) 787-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
76932643MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Community Solutions Inc CurrentSince Oct 3, 2022 Accepting new patients

Locations

77 Warren St
Bldg 2
Brighton, MA 02135
Phone (617) 383-7804

1125 Centre St
Jamaica Plain, MA 02130
Phone (617) 524-3116

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1215296165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PAUL GORE ST APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021301814",
            "telephone_number": "617-584-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304885",
            "telephone_number": "617-232-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMANSKY",
        "first_name": "ALIX",
        "middle_name": "MARCELLE",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "76932643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.