The Home for Little Wanderers

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE HOME FOR LITTLE WANDERERS

Practice address

19 Dalrymple St
Unit D
Jamaica Plain, MA 02130-4543

Phone

(617) 302-7814

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Kacey Bongarzone

Title

Clinician

Phone

(617) 302-7814

Specialties & licenses 1

Addresses

Tax ID family

New England Home for Little5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• The Home for Little Wanderers

  • Community/Behavioral Health Agency
  • Somerville, MA
  • NPI 1376689281
  NPD tax ID
• The Home for Little Wanderers

  • Adolescent and Children Mental Health Clinic/Center
  • Roslindale, MA
  • NPI 1710045364
  NPD tax ID
• The Home for Little Wanderers

  • Community/Behavioral Health Agency
  • Roslindale, MA
  • NPI 1720432990
  NPD tax ID
• The Home for Little Wanderers

  • Medically Fragile Infants and Children Day Care
  • Allston, MA
  • NPI 1801932165
  NPD tax ID

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1326412685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DALRYMPLE ST",
            "address_2": "UNIT D",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DALRYMPLE ST",
            "address_2": "UNIT D",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304543",
            "telephone_number": "617-302-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME FOR LITTLE WANDERERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "BONGARZONE",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "617-302-7814"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Commonwealth of Massachusetts
• The Commonwealth of Massachusetts
• The Commonwealth of Massachusetts
• The Commonwealth of Massachusetts
• The Commonwealth of Massachusetts
• The Therapy Room
• Ashley Cecile Therien
• Amie Foster Thimas
• Allan C Thomas, CRNA
• Anna Thomas, LICSW

• Community/Behavioral Health Agency in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.