NPIMap

Organization Active NPI

Trinity Boston Foundation, Inc.

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1437487402
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRINITY BOSTON FOUNDATION, INC.
Practice address
206 Clarendon St
Boston, MA 02116-3722
Phone
(617) 536-0944
Fax
(617) 536-8916
NPI assigned
Dec 2, 2009
Organization subpart
Yes
Parent organization
TRINITY CHURCH IN THE CITY OF BOSTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Ms. Louise Burnham Packard
Title
Executive Director
Phone
(617) 536-0944

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

206 Clarendon St
Boston, MA 02116-3722

Mailing address

206 Clarendon St
Boston, MA 02116-3722
Phone (617) 536-0944

Other names 1

  • Trinity Boston Foundation Other name

National Provider Directory

National Provider Directory

Locations

206 Clarendon St
Boston, MA 02116
Phone (617) 536-0944

Practitioners & affiliated clinicians

Practitioners 9

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": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1437487402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CLARENDON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163722",
            "telephone_number": "617-536-0944",
            "fax_number": "617-536-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CLARENDON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163722",
            "telephone_number": "617-536-0944",
            "fax_number": "617-536-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BOSTON FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CHURCH IN THE CITY OF BOSTON",
        "enumeration_date": "2009-12-02",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "BURNHAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-536-0944",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Boston Foundation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 29, 2011; 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.