Organization Active NPI

Fathers' Uplift

  • Community/Behavioral Health Agency
  • Quincy, MA
National Provider Identifier
1225461809
Registry record updated Aug 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FATHERS' UPLIFT
Practice address
145 Willard St Apt A3
Quincy, MA 02169-1533
Phone
(404) 512-6891
NPI assigned
Aug 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2013

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

Authorized official

Name
Mr. Charles Clayton Daniels Jr., M.S.W., LCSW
Title
Ceo/ President
Phone
(404) 512-6891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MA Primary

Addresses

Primary practice location

145 Willard St Apt A3
Quincy, MA 02169-1533

Mailing address

145 Willard St Apt A3
Quincy, MA 02169-1533
Phone (404) 512-6891

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376784000000",
    "number": "1225461809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WILLARD ST APT A3",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691533",
            "telephone_number": "404-512-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WILLARD ST APT A3",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691533",
            "telephone_number": "404-512-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHERS' UPLIFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-08-18",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "404-512-6891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.S.W., LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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.