Active NPI
The Guidance Center, Inc.
- Early Intervention Provider Agency
- Somerville, MA
National Provider Identifier
1619009784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- THE GUIDANCE CENTER, INC.
- Practice address
- 61 Medford St
Somerville, MA 02143-3429 - Phone
- (617) 629-3919
- Fax
- (617) 629-4644
- NPI assigned
- Mar 12, 2007
- Organization subpart
- Yes
- Parent organization
- THE GUIDANCE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Ayers, LICSW
- Title
- Executive Director
- Phone
- (617) 354-2275
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
61 Medford St
Somerville, MA 02143-3429
Mailing address
5 Sacramento St
Cambridge, MA 02138-1812
Phone (617) 354-2275
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721991 | Other | MA | TUFTS |
| 614913 | Other | MA | HPHC |
| EI0016 | Other | MA | BCBS |
| 1800396 | Medicaid | MA | |
| 6785839 | Other | MA | CIGNA |
Other names 1
- Cambridge-Somerville Early Intervention
National Provider Directory
National Provider Directory- Tax ID family
- Guidance Center Inc
- Part of
- Guidance Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Cambridge, MA
- NPI 1699807842
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Case Management Agency
- Cambridge, MA
- NPI 1699807842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194825600000",
"number": "1619009784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SACRAMENTO ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381812",
"telephone_number": "617-354-2275",
"fax_number": "617-547-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MEDFORD ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433429",
"telephone_number": "617-629-3919",
"fax_number": "617-629-4644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GUIDANCE CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE GUIDANCE CENTER",
"enumeration_date": "2007-03-12",
"last_updated": "2007-11-12",
"status": "A",
"authorized_official_last_name": "AYERS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "617-354-2275",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "721991",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "614913",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "EI0016",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1800396",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6785839",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cambridge-Somerville Early Intervention",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.