Organization Active NPI

South Middlesex Opportunity Council

  • Addiction (Substance Use Disorder) Counselor
  • Framingham, MA
National Provider Identifier
1578843421
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SOUTH MIDDLESEX OPPORTUNITY COUNCIL
Practice address
300 Howard St
Framingham, MA 01702-8313
Phone
(508) 879-2250
Fax
(508) 879-2581
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mark Kinchla, PSYD
Title
Director of Substance Abuse
Phone
(508) 879-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

300 Howard St
Framingham, MA 01702-8313

Mailing address

300 Howard St
Framingham, MA 01702-8313
Phone (508) 879-2250

National Provider Directory

National Provider Directory
Tax ID family
South Middlesex Opportunity Council Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/smoc/r4/

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1578843421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOWARD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028313",
            "telephone_number": "508-879-2250",
            "fax_number": "508-879-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOWARD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028313",
            "telephone_number": "508-879-2250",
            "fax_number": "508-879-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIDDLESEX OPPORTUNITY COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "KINCHLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF SUBSTANCE ABUSE",
        "authorized_official_telephone_number": "508-879-2250",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.