Active NPI
The Open Door, Inc
- Mental Health Counselor
- Quincy, MA
National Provider Identifier
1356370134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 112177
- 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, 2020
- 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
- Gail P Cocio, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Quincy, MA
- NPI 1649311101
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
- Tammy Thai
- Timothy Thai
- Yieng L Tham
- The Commonwealth of Massachusetts (Quincy Mental Health Center)
- The Family Center
- The Outreach Wellness Center LLC
- The Salvation Army
- The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #17)
- The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #20)
- Jenny Theodorou, B.A.
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.