NPIMap

Organization Active NPI

Northeastern University, University Health & Counseling Services

  • Student Health Clinic/Center
  • Boston, MA
National Provider Identifier
1619181880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
254638 Issued in MA
Legal business name
NORTHEASTERN UNIVERSITY, UNIVERSITY HEALTH & COUNSELING SERVICES
Practice address
135 Forsyth St
360 Huntington Ave.
Boston, MA 02115-5024
Phone
(617) 373-2772
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gairy F. Hall, M.D.
Title
Medical Director
Phone
(617) 373-7523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 254638 MA Primary

Addresses

Primary practice location

135 Forsyth St
360 Huntington Ave.
Boston, MA 02115-5024

Mailing address

1 Aberdeen Way
Unit 206
Cambridge, MA 02138-4626
Phone (617) 492-2619

National Provider Directory

National Provider Directory
Tax ID family
Northeastern University3 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.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619181880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ABERDEEN WAY",
            "address_2": "UNIT 206",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384626",
            "telephone_number": "617-492-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 FORSYTH ST",
            "address_2": "360 HUNTINGTON AVE.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155024",
            "telephone_number": "617-373-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN UNIVERSITY, UNIVERSITY HEALTH & COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "GAIRY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-373-7523",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MA",
            "license": "254638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.