Active NPI
Quincy Medical Center
- Psychiatric Hospital Unit
- Quincy, MA
National Provider Identifier
1265457535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 106
- Legal business name
- QUINCY MEDICAL CENTER
- Practice address
- 114 Whitwell St
Quincy, MA 02169-1870 - Phone
- (617) 773-6100
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark O'Neill
- Title
- Chief Financial Officer
- Phone
- (617) 376-5730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 106 | MA | Primary |
Addresses
Primary practice location
114 Whitwell St
Quincy, MA 02169-1870
Mailing address
114 Whitwell St
Quincy, MA 02169-1870
Phone (617) 773-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010417 | Medicaid | MA | |
| 1212575 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1265457535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WHITWELL ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691870",
"telephone_number": "617-773-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WHITWELL ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691870",
"telephone_number": "617-773-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINCY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "617-376-5730",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "MA",
"license": "106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010417",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1212575",
"state": "MA"
}
],
"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 Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.