Organization Active NPI

The Open Door, Inc

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1356370134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
112177 Issued in MA
Legal business name
THE OPEN DOOR, INC
Practice address
1419 Hancock St
Quincy, MA 02169-5250
Phone
(617) 984-8370
Fax
(617) 984-8371
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gail P Cocio, LICSWNPI 1649311101
Title
Executive Director
Phone
(617) 984-8370

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 112177 MA Primary

Addresses

Primary practice location

1419 Hancock St
Quincy, MA 02169-5250

Mailing address

44 Utica St
Quincy, MA 02169-3232
Phone (617) 984-8370

National Provider Directory

National Provider Directory

Locations

1419 Hancock St
Quincy, MA 02169
Phone (617) 328-0639

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356370134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 UTICA ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021693232",
            "telephone_number": "617-984-8370",
            "fax_number": "617-984-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695250",
            "telephone_number": "617-984-8370",
            "fax_number": "617-984-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPEN DOOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCIO",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-984-8370",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "112177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

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.

Verify at the official NPI Registry.