Individual provider Active NPI

Christina Devlin

  • Addiction (Substance Use Disorder) Counselor
  • Boston, MA
National Provider Identifier
1649943994
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17140 Issued in MA
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

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1689254898MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
17140MAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
HCRC CurrentSince Aug 1, 2021 Accepting new patients
Community Health Care, Inc. Addiction (Substance Use Disorder) PastSince Aug 1, 2021 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.

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.

Verify at the official NPI Registry.