Active NPI
Boston Alcohol and Substance Abuse Program
- Substance Use Disorder Rehabilitation Clinic/Center
- Boston, MA
National Provider Identifier
1346329463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 0585
- Legal business name
- BOSTON ALCOHOL AND SUBSTANCE ABUSE PROGRAM
- Practice address
- 30 Winter St
3Rd Floor
Boston, MA 02108-4720 - Phone
- (617) 482-5292
- Fax
- (617) 482-5232
- NPI assigned
- Nov 2, 2006
- 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
- Mr. Thomas J Delaney, MSW
- Title
- Executive Director
- Phone
- (617) 482-5292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 0585 | MA | Primary |
Addresses
Primary practice location
30 Winter St
3Rd Floor
Boston, MA 02108-4720
Mailing address
30 Winter St
3Rd Floor
Boston, MA 02108-4720
Phone (617) 482-5292
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013160 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 2223020540 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1312626 | Other | MA | MASSHEALTH |
National Provider Directory
National Provider DirectoryLocations
30 Winter St
Ste 3
Boston, MA 02108
Phone (617) 284-5292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Boston, MA
- NPI 1104047166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346329463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WINTER ST",
"address_2": "3RD FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021084720",
"telephone_number": "617-482-5292",
"fax_number": "617-482-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WINTER ST",
"address_2": "3RD FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021084720",
"telephone_number": "617-482-5292",
"fax_number": "617-482-5232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON ALCOHOL AND SUBSTANCE ABUSE PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELANEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "617-482-5292",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "MA",
"license": "0585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "1013160",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2223020540",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "1312626",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.