Boston Hamilton Recovery Home Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

230453990730000 Issued in MA

Legal business name

BOSTON HAMILTON RECOVERY HOME INC.

Practice address

25 Mount Ida Rd
Dorchester, MA 02122-1709

Phone

(617) 288-1584

Fax

(617) 288-8881

NPI assigned

Oct 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert R. Brown, PHD, LICSW, LADAC-1NPI 1942585781

Title

Program Director/CCS

Phone

(617) 288-1584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert R. Brown, PHD, LICSW, LADAC-1

  • Addiction (Substance Use Disorder) Psychologist
  • Dorchester, MA
  • NPI 1942585781
  NPD (past) Authorized official

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1467737288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNT IDA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221709",
            "telephone_number": "617-288-1584",
            "fax_number": "617-288-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNT IDA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221709",
            "telephone_number": "617-288-1584",
            "fax_number": "617-288-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON HAMILTON RECOVERY HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/CCS",
        "authorized_official_telephone_number": "617-288-1584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LICSW, LADAC-1"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "230453990730000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Boston Medical Center
• Boston Medical Center Corporation

• Substance Abuse Rehabilitation Facility in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.