NPIMap

Organization Active NPI

Mab Community Services Inc

  • Counselor
  • Brookline, MA
National Provider Identifier
1326972837
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MAB COMMUNITY SERVICES INC
Practice address
200 Ivy St
Brookline, MA 02446-3907
Phone
(617) 738-5110
Fax
(774) 366-0610
NPI assigned
Jun 10, 2026
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MAB COMMUNITY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Michael Panicola
Title
Authorized Official
Phone
(617) 732-0238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

200 Ivy St
Brookline, MA 02446-3907

Mailing address

29 Denby Rd
Allston, MA 02134-1605
Phone (617) 738-5110

National Provider Directory

National Provider Directory
Tax ID family
Mab Community Services Inc7 organizations share this tax ID, including this one
Part of
Mab Community Services Inc

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1326972837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DENBY RD",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341605",
            "telephone_number": "617-738-5110",
            "fax_number": "774-366-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 IVY ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463907",
            "telephone_number": "617-738-5110",
            "fax_number": "774-366-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAB COMMUNITY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAB COMMUNITY SERVICES INC",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "PANICOLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "617-732-0238"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.