Edward Brooke Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EDWARD BROOKE CHARTER SCHOOL

Practice address

190 Cummins Hwy
Roslindale, MA 02131-3722

Phone

(617) 325-7977

Fax

(617) 325-2260

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Cristie McGrath

Title

Director of Student Support

Phone

(617) 325-7977

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265563506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CUMMINS HWY",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313722",
            "telephone_number": "617-325-7977",
            "fax_number": "617-325-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CUMMINS HWY",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313722",
            "telephone_number": "617-325-7977",
            "fax_number": "617-325-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BROOKE CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "CRISTIE",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SUPPORT",
        "authorized_official_telephone_number": "617-325-7977"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955705",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Dunn, RN
• Patricia J Dunn
• Kathryn Durrell
• Erick William Dushane
• Alla Talal Edriss, DDS
• Nadia El Tayar
• Azeez Oluwafemi Elesho
• Lindsay Elin, MSW
• Jennifer Elson, MSW
• Elicelot Encarnacion, LICSW

• Local Education Agency (LEA) in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.