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Justice Resource Institute, Inc

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Acton, MA

NPI 1295909760 · NPPES record last updated Mar 8, 2012

Key facts

NPI
1295909760
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
4825 (MA)
Legal business name
JUSTICE RESOURCE INSTITUTE, INC
Practice address
380 Massachusetts Ave
Acton, MA 01720-3743
Phone
(978) 264-3619
NPI assigned
Apr 16, 2008
Organization subpart
No

Authorized official

Name
Mr. Andy Pond, LICSW
Title
President
Phone
(781) 559-4900

Corporate family (same tax ID) 22

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

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 60

National Provider Directory

Tax ID family
Sidney Borum Jr Health Center (23 organizations share this tax ID)

Locations

380 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-3006

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4825 MA Yes

Addresses

Primary practice location

380 Massachusetts Ave
Acton, MA 01720-3743

Mailing address

160 Gould St
Suite 300
Needham, MA 02494-2313
Phone (781) 559-4900

Other names

  • JRI Behavioral Health Center Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 8, 2012.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1295909760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GOULD ST",
            "address_2": "SUITE 300",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942313",
            "telephone_number": "781-559-4900",
            "fax_number": "781-559-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MASSACHUSETTS AVE",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203743",
            "telephone_number": "978-264-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE RESOURCE INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-559-4900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JRI Behavioral Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Acton, MA

All providers in Acton, MA · Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

Sources for this page

Verify at the official NPI Registry.