Boston Collegiate Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BOSTON COLLEGIATE CHARTER SCHOOL

Practice address

11 Mayhew St
Dorchester, MA 02125-1628

Phone

(617) 265-1172

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Miss Kathleen Sullivan

Title

Executive Director

Phone

(617) 265-1172

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457574865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAYHEW ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251628",
            "telephone_number": "617-265-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAYHEW ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251628",
            "telephone_number": "617-265-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON COLLEGIATE CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-265-1172",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951459",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Borja
• Roxanna Arezu Borzin
• Jovan Trajko Boseovski, MD
• Boston Adult Day Care
• Boston Adult Foster Care
• Boston Eyeworks PC
• Boston Hamilton Recovery Home Inc.
• Boston Healthcare for the Homeless
• Boston Healthcare Institute Inc
• Boston Healthcare Services LLC

• Local Education Agency (LEA) in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Local Education Agency (LEA) 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.