Fresh Start Recovery Coalition, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRESH START RECOVERY COALITION, INC

Doing business as

Indigo Behavioral Health Services

Practice address

214 Commercial St
Suite 104
Malden, MA 02148-6716

Phone

(781) 388-9300

Fax

(781) 388-9325

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damion P Smith

Title

President

Phone

(781) 388-9300

Specialties & licenses 3

Addresses

Other names 1

• INDIGO BEHAVIORAL HEALTH SERVICES Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kishanlal Chakrabarti, MD

  • Psychiatry Physician
  • Winthrop, MA
  • NPI 1659365856
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1225237621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COMMERCIAL ST",
            "address_2": "SUITE 104",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486716",
            "telephone_number": "781-388-9300",
            "fax_number": "781-388-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COMMERCIAL ST",
            "address_2": "SUITE 104",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486716",
            "telephone_number": "781-388-9300",
            "fax_number": "781-388-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START RECOVERY COALITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAMION",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-388-9300"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDIGO BEHAVIORAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilenchie Francois
• Frank a Fritz Inc (Aucella Drug Company)
• Bruce Freeman, LICSW
• Melissa Freitag
• Caitlin French, R.N.
• Paul Frydrych, MD
• Betzaida Fuentes, MS, BCBA
• Lucy Gabor, MSW
• Ian Gabriel
• Dawn Michelle Gaffney

• Community/Behavioral Health Agency in Malden, MA
• Providers in Malden, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.