Active NPI
Within Health Ma PLLC
- Adult Mental Health Clinic/Center
- Cambridge, MA
National Provider Identifier
1306555354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- WITHIN HEALTH MA PLLC
- Practice address
- 125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392 - Phone
- (866) 918-2114
- NPI assigned
- Nov 18, 2022
- 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
- Christine Stockert, RN
- Title
- Director of Health Services and Qua
- Phone
- (305) 725-2028
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392
Mailing address
2665 S Bayshore Dr Ste 220
Miami, FL 33133-5402
Phone (866) 918-2114
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1306555354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 S BAYSHORE DR STE 220",
"city": "MIAMI",
"state": "FL",
"postal_code": "331335402",
"telephone_number": "866-918-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CAMBRIDGEPARK DR STE 301",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402392",
"telephone_number": "866-918-2114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WITHIN HEALTH MA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "STOCKERT",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES AND QUA",
"authorized_official_telephone_number": "305-725-2028",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.