Sprrrrr LC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPRRRRR LC.

Practice address

91 Colorado St
Mattapan, MA 02126-1347

Phone

(857) 261-2011

Fax

(617) 698-0871

NPI assigned

Dec 8, 2018

Organization subpart

No

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

Authorized official

Name

Miss Cicely Payne

Title

Director

Phone

(857) 261-2011

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544227200000",
    "number": "1467923045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 COLORADO ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021261347",
            "telephone_number": "857-261-2011",
            "fax_number": "617-698-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 COLORADO ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021261347",
            "telephone_number": "857-261-2011",
            "fax_number": "617-698-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRRRRR LC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-08",
        "last_updated": "2018-12-08",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CICELY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "857-261-2011",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346662319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Tanya Smith, M.A.
• Nicole Smith, RN
• Reneica S Smith
• Solange Smith, RN
• Joli Marie Sparkman
• Marie I C St Hubert, RN
• Gemima St. Louis, PHD
• Dani Stanbouly
• Laura L. Stanley, NP
• Nancy Stevenson

• Community/Behavioral Health Agency in Mattapan, MA
• Providers in Mattapan, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.