Prospect Hill Academy Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PROSPECT HILL ACADEMY CHARTER SCHOOL

Practice address

15 Webster Ave
Somerville, MA 02143-3311

Phone

(617) 284-7800

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jed Frank Lippard

Title

Head of School

Phone

(617) 284-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467578195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WEBSTER AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEBSTER AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433311",
            "telephone_number": "617-284-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT HILL ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPPARD",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "HEAD OF SCHOOL",
        "authorized_official_telephone_number": "617-284-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH PROVIDER NUM.",
            "identifier": "1956035",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Francesca Prefer, LCSW
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• Nicholas Purol, LICSW

• Local Education Agency (LEA) in Somerville, MA
• Providers in Somerville, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.