NPIMap

Organization Active NPI

Justice Resource Institute

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Swansea, MA
National Provider Identifier
1427329283
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
216661 Issued in MA
Legal business name
JUSTICE RESOURCE INSTITUTE
Practice address
664 Stevens Rd
Swansea, MA 02777-4701
Phone
(508) 676-8740
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Andy Pond
Title
Executive Director
Phone
(617) 450-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 216661 MA Primary

Addresses

Primary practice location

664 Stevens Rd
Swansea, MA 02777-4701

Mailing address

664 Stevens Rd
Swansea, MA 02777-4701

National Provider Directory

National Provider Directory
Tax ID family
Sidney Borum Jr Health Center23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

664 Stevens Rd
Swansea, MA 02777
Phone (508) 676-8740

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1427329283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STEVENS RD",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STEVENS RD",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774701",
            "telephone_number": "508-676-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE RESOURCE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-450-0511"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "216661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.