NPIMap

Organization Active NPI

Brookline Community Mental Health Center

  • Community/Behavioral Health Agency
  • Brookline, MA
National Provider Identifier
1467745109
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROOKLINE COMMUNITY MENTAL HEALTH CENTER
Practice address
43 Garrison Rd
Brookline, MA 02445-4445
Phone
(617) 277-8107
Fax
(617) 734-6385
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Funmi Aguocha, PSYD
Title
Chief Operating Officer
Phone
(857) 707-3481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

43 Garrison Rd
Brookline, MA 02445-4445

Mailing address

43 Garrison Rd
Brookline, MA 02445-4445
Phone (617) 277-8107

Other names 2

  • The Brookline Center Doing business as
  • Brookline Center for Community Mental Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Brookline Center for Community Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1467745109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-277-8107",
            "fax_number": "617-734-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-277-8107",
            "fax_number": "617-734-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUOCHA",
        "authorized_official_first_name": "FUNMI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "857-707-3481",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brookline Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Brookline Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookline Center for Community Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.