Mass General Revere Healthcare Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

214161 Issued in MA

Legal business name

MASS GENERAL REVERE HEALTHCARE CENTER

Practice address

300 Ocean Ave
Revere, MA 02151-3675

Phone

(781) 485-6000

Fax

(781) 485-6230

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Christine Louise Daniels, LCSWNPI 1952888562

Title

Clinical Social Worker

Phone

(781) 495-6039

Specialties & licenses 1

Addresses

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.

• Christine Daniels, LICSW

  • Social Worker
  • Revere, MA
  • NPI 1952888562
  Authorized official Same address or phone

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1386839629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OCEAN AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513675",
            "telephone_number": "781-485-6000",
            "fax_number": "781-485-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OCEAN AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513675",
            "telephone_number": "781-485-6000",
            "fax_number": "781-485-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL REVERE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "781-495-6039",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "214161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Malanga, OTR/L
• Nandini Mani, M.D.
• Brenda March, COTA/L
• Caroline Marchetta Campbell
• William Masiello
• Mass One Dental LLC (all pro dental)
• Massachusetts General Hospital Revere Healthcare Center
• Sherly Masse
• Maxi Drug Inc (Rite Aid Pharmacy 10166)
• Jemimah Mbekeka

• Community/Behavioral Health Agency in Revere, MA
• Providers in Revere, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.