NPIMap

Organization Active NPI

Judge Baker Children'S Center

  • Adolescent and Children Mental Health Clinic/Center
  • Boston, MA
National Provider Identifier
1629559059
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JUDGE BAKER CHILDREN'S CENTER
Practice address
53 Parker Hill Ave
Boston, MA 02120-3225
Phone
(617) 278-4265
NPI assigned
Aug 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Katherine MayNPI 1578857629
Title
Director of Clinical Operations
Phone
(617) 254-3800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

53 Parker Hill Ave
Boston, MA 02120-3225

Mailing address

53 Parker Hill Ave
Boston, MA 02120-3225
Phone (617) 278-4265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401000821 MA Part B Supplier - Clinic/Group Practice 7719394030 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2201163Judge Baker Children'S Center - Manville School53 Parker Hill Ave, Boston, MA 02120Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

53 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 232-8390

746 South St
Fl 2
Waltham, MA 02453
Phone (617) 278-5300

Practitioners & affiliated clinicians

Practitioners 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1629559059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PARKER HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021203225",
            "telephone_number": "617-278-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PARKER HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021203225",
            "telephone_number": "617-278-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDGE BAKER CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "617-254-3800"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "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 Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.