Organization Active NPI

Children Services of Roxbury

  • Case Management Agency
  • Boston, MA
National Provider Identifier
1487210639
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHILDREN SERVICES OF ROXBURY
Practice address
520 Dudley St
Boston, MA 02119-2769
Phone
(617) 445-6655
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Lorraine Harris
Title
Family Partner
Phone
(617) 412-5292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

520 Dudley St
Boston, MA 02119-2769

Mailing address

520 Dudley St
Roxbury, MA 02119-2769
Phone (617) 445-6655

Other practice location 1

520 Dudley St
Roxbury, MA 02119-2769
Phone (617) 445-6655

Other identifiers 1

IdentifierTypeStateIssuer
1124253794OtherMACHILDREN SERVICES OF ROXBURY

Other names 1

  • Children services of Roxbury Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1487210639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 DUDLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192769",
            "telephone_number": "617-445-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DUDLEY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192769",
            "telephone_number": "617-445-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021192769",
            "country_code": "US",
            "telephone_number": "617-445-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN SERVICES OF ROXBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "FAMILY PARTNER",
        "authorized_official_telephone_number": "617-412-5292"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN SERVICES OF ROXBURY",
            "identifier": "1124253794",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children Services of Roxbury",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children services of Roxbury",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.