Organization Active NPI

Foot-Cross C.a.R.E., LLC

  • Community/Behavioral Health Agency
  • Boston, MA
National Provider Identifier
1376064311
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FOOT-CROSS C.A.R.E., LLC
Practice address
711 Atlantic Ave
Boston, MA 02111-2809
Phone
(857) 496-5206
NPI assigned
Jun 29, 2017
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Masuka ClaryNPI 1548762685
Title
Manager
Phone
(857) 496-5206

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

711 Atlantic Ave
Boston, MA 02111-2809

Mailing address

PO Box 471017
Brookline Village, MA 02447-1017
Phone (857) 496-5206

Other practice location 1

6424 E Greenway Pkwy STE 100
Scottsdale, AZ 85254
Phone (480) 256-1079

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop

National Provider Directory

National Provider Directory

Locations

711 Atlantic Ave
Boston, MA 02111
Phone (857) 496-5206

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": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1376064311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471017",
            "city": "BROOKLINE VILLAGE",
            "state": "MA",
            "postal_code": "024471017",
            "telephone_number": "857-496-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ATLANTIC AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112809",
            "telephone_number": "857-496-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6424 E Greenway Pkwy STE 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85254",
            "country_code": "US",
            "telephone_number": "480-256-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT-CROSS C.A.R.E., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "CLARY",
        "authorized_official_first_name": "MASUKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "857-496-5206"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "711 Atlantic Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021112809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.