NPIMap

Organization Active NPI

Children's Services of Roxbury

  • Mental Health Counselor
  • Roxbury, MA
National Provider Identifier
1669107678
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHILDREN'S SERVICES OF ROXBURY
Practice address
504 Dudley St
Roxbury, MA 02119-2732
Phone
(617) 445-6655
NPI assigned
Jul 22, 2022
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Hannah ReclamNPI 1750761052
Title
Iht and Outpatient Clinician
Phone
(978) 653-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

504 Dudley St
Roxbury, MA 02119-2732

Mailing address

504 Dudley St
Roxbury, MA 02119-2732

National Provider Directory

National Provider Directory

Locations

504 Dudley St
Roxbury, MA 02119
Phone (617) 445-6655

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1669107678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 DUDLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 DUDLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192732",
            "telephone_number": "617-445-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SERVICES OF ROXBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "RECLAM",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "IHT AND OUTPATIENT CLINICIAN",
        "authorized_official_telephone_number": "978-653-0334"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Jul 22, 2022; 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.