NPIMap

Organization Active NPI

Somerville-Cambridge Elder Services, Inc

  • Case Management Agency
  • Somerville, MA
National Provider Identifier
1245086321
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOMERVILLE-CAMBRIDGE ELDER SERVICES, INC
Practice address
61 Medford St Ste 3
Somerville, MA 02143-3422
Phone
(617) 628-2601
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Donna Vaskelis
Title
Cfo
Phone
(617) 628-2601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

61 Medford St Ste 3
Somerville, MA 02143-3422

Mailing address

61 Medford St Ste 3
Somerville, MA 02143-3422
Phone (617) 628-2601

National Provider Directory

National Provider Directory
Tax ID family
Somerville Cambridge Elder Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

61 Medford St
Ste 3
Somerville, MA 02143
Phone (617) 628-2601

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1245086321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST STE 3",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433422",
            "telephone_number": "617-628-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST STE 3",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433422",
            "telephone_number": "617-628-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE-CAMBRIDGE ELDER SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "VASKELIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-628-2601"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.