Organization Active NPI

The Osiris Family Institute, LLC

  • Community/Behavioral Health Agency
  • Roxbury, MA
National Provider Identifier
1629248026
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE OSIRIS FAMILY INSTITUTE, LLC
Practice address
184 Dudley St
Suite 107 LL
Roxbury, MA 02119-2561
Phone
(617) 442-2002
Fax
(617) 442-4002
NPI assigned
Mar 3, 2008
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Larry Higginbottom, MSW / L.C.S.WNPI 1003062688
Title
Founder / Ceo
Phone
(617) 442-2002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

184 Dudley St
Suite 107 LL
Roxbury, MA 02119-2561

Mailing address

184 Dudley St
Suite 107 LL
Roxbury, MA 02119-2561
Phone (617) 442-2002

National Provider Directory

National Provider Directory

Locations

184 Dudley St
Ste 107
Roxbury, MA 02119
Phone (617) 442-2002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1629248026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 DUDLEY ST",
            "address_2": "SUITE 107 LL",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192561",
            "telephone_number": "617-442-2002",
            "fax_number": "617-442-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 DUDLEY ST",
            "address_2": "SUITE 107 LL",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192561",
            "telephone_number": "617-442-2002",
            "fax_number": "617-442-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OSIRIS FAMILY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTTOM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "617-442-2002",
        "authorized_official_credential": "MSW / L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.