NPIMap

Organization Active NPI

Boston Healthcare VA

  • Psychiatric Hospital Unit
  • Revere, MA
National Provider Identifier
1467641126
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
BOSTON HEALTHCARE VA
Practice address
204 Bellingham Ave
Revere, MA 02151-4106
Phone
(440) 915-6515
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Adriana Faur, M.A.
Title
Postdoctoral Fellow
Phone
(857) 364-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

204 Bellingham Ave
Revere, MA 02151-4106

Mailing address

204 Bellingham Ave
Revere, MA 02151-4106
Phone (440) 915-6515

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1467641126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BELLINGHAM AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514106",
            "telephone_number": "440-915-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BELLINGHAM AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514106",
            "telephone_number": "440-915-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON HEALTHCARE VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "FAUR",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "POSTDOCTORAL FELLOW",
        "authorized_official_telephone_number": "857-364-4122",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.