Active NPI
Brandeis University
- Case Manager/Care Coordinator
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 118679
- Legal business name
- BRANDEIS UNIVERSITY
- Practice address
- 415 South St
Ms061
Waltham, MA 02453-2728 - Phone
- (617) 921-7009
- NPI assigned
- Feb 18, 2015
- Last updated
- Feb 18, 2015
- 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
- Dr. Joy Von Steiger, PHD
- Title
- Clinical Director of PCC
- Phone
- (617) 875-0444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 118679 | MA | Primary |
Addresses
Primary practice location
415 South St
Ms061
Waltham, MA 02453-2728
Mailing address
415 South St
Ms 061
Waltham, MA 02453-2728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | MA | NONE |
National Provider Directory
National Provider Directory- Tax ID family
- Brandeis University
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student Health Clinic/Center
- Waltham, MA
- NPI 1588025217
-
dba Brandeis University Psychological Counseling Center
- Psychologist
- Waltham, MA
- NPI 1669689014
Locations
415 South St
#61
Waltham, MA 02453
Phone (781) 736-3730
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychologist
- Cambridge, MA
- NPI 1962471870
-
- Mental Health Counselor
- Waltham, MA
- NPI 1134837123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424217600000",
"number": "1295126894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 SOUTH ST",
"address_2": "MS 061",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SOUTH ST",
"address_2": "MS061",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532728",
"telephone_number": "617-921-7009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDEIS UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "VON STEIGER",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR OF PCC",
"authorized_official_telephone_number": "617-875-0444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MA",
"license": "118679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "000000",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.