Morgan Memorial Goodwill Industries

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MORGAN MEMORIAL GOODWILL INDUSTRIES

Practice address

45 Congress St
Salem, MA 01970-5579

Phone

(617) 541-1294

Fax

(617) 541-1492

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Duff

Title

Cfo

Phone

(617) 541-1267

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Morgan Memorial Goodwill Industries3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Morgan Memorial Goodwill Industries

  • Developmentally Disabled Services Day Training Agency
  • Roxbury, MA
  • NPI 1174663512
  NPD tax ID
• Morganmemorial Goodwill Ind.

  • Developmentally Disabled Services Day Training Agency
  • Saugus, MA
  • NPI 1609160621
  NPD tax ID

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356569198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HARRISON AVE",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192540",
            "telephone_number": "617-541-1294",
            "fax_number": "617-541-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705579",
            "telephone_number": "617-541-1294",
            "fax_number": "617-541-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN MEMORIAL GOODWILL INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-541-1267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302795",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marta Mora Gonzalez, MD
• Kyleen McHugh Moradi
• Carlos Morales
• Luis Morales
• Elena Moreira
• Joshua Stephen Morgan
• Julia Morgan, PSYD
• Linda J Morgan, MD
• Stephen Morgan, MD
• Estella Christina Moriarty, M.S. C.A.G.S.

• Developmentally Disabled Services Day Training Agency in Salem, MA
• Providers in Salem, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• 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.