St. Mary's Center for Women and Children

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ST. MARY'S CENTER FOR WOMEN AND CHILDREN

Practice address

90 Cushing Ave
Dorchester, MA 02125-2028

Phone

(617) 436-8600

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deridre Houtmeyers

Title

President & Ceo

Phone

(617) 436-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Keith Gilliam, LMHC

  • Mental Health Counselor
  • Dorchester, MA
  • NPI 1598058588
  NPD (past)
• Virginia Hann Ngai, LICSW

  • Clinical Social Worker
  • Dorchester, MA
  • NPI 1639675267
  NPD (past)
• Ephlyn U Simms, NP

  • Nurse Practitioner
  • Dorchester, MA
  • NPI 1750478004
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1306212899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CUSHING AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CUSHING AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252028",
            "telephone_number": "617-436-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S CENTER FOR WOMEN AND CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "HOUTMEYERS",
        "authorized_official_first_name": "DERIDRE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "617-436-8600"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Sposato, MD
• Kelly Anne Springham
• Cindy Sprouse, LICSW
• Jacqueline Ann St Pierre, DMD
• Wendy St. Jules
• Madeline Stach
• Vernall Stafford
• Diane L Staib, LCSW
• Standish Village TRS, LLC
• Rolonda Khayamesia Stanley

• Mental Health Counselor in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.