Active NPI
Christina Devlin
- Addiction (Substance Use Disorder) Counselor
- Boston, MA
National Provider Identifier
1649943994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17140
- Practice address
- 23 Bradston St
Boston, MA 02118-2703 - Phone
- (617) 318-6480
- NPI assigned
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17140 | MA | Primary |
Addresses
Primary practice location
23 Bradston St
Boston, MA 02118-2703
Mailing address
202 Winthrop St
Quincy, MA 02169-3132
Phone (617) 750-7964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689254898 | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | HCRC | |
| Other URL | n/a | HCRC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17140 | MA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCRC | Current | Accepting new patients | |
| Community Health Care, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
23 Bradston St
Boston, MA 02118
Phone (617) 318-6480
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Boston, MA
- NPI 1689254898
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Westfield, MA
- NPI 1912980251
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1649943994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 WINTHROP ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021693132",
"telephone_number": "617-750-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BRADSTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182703",
"telephone_number": "617-318-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "17140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689254898",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "Y",
"affiliationName": "HCRC",
"address_1": "23 Bradston St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021182703",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "Y",
"affiliationName": "HCRC",
"address_1": "23 Bradston St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021182703",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.