City of Waltham

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

CITY OF WALTHAM

Practice address

119 School St
Waltham, MA 02451-4596

Phone

(781) 314-3315

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Feeley

Title

Director of Public Health

Phone

(781) 314-3315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1639766165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SCHOOL ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024514596",
            "telephone_number": "781-314-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SCHOOL ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024514596",
            "telephone_number": "781-314-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WALTHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "FEELEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "781-314-3315"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Ann Ciambotti, LICSW
• Mattia Cianfrone
• Erica Marie Ciaramicoli
• Circle Care Services LLC
• City of Waltham
• City Voyager Corp
• Amy Clancy
• Mollie Clark, M.A.
• Roseanne Elizabeth Clark, M.S., CCC-SLP
• Terrell A Clark, PHD

• State or Local Public Health Clinic/Center in Waltham, MA
• Providers in Waltham, MA by specialty
• State or Local Public Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.