NPIMap

Organization Active NPI

Boston Medical Center/Spark Center

  • Early Intervention Provider Agency
  • Mattapan, MA
National Provider Identifier
1669714457
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BOSTON MEDICAL CENTER/SPARK CENTER
Practice address
255 River St
Mattapan, MA 02126-2729
Phone
(617) 534-2050
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Gemima St. Louis
Title
Director of Mental Health Training
Phone
(617) 534-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

255 River St
Mattapan, MA 02126-2729

Mailing address

255 River St
Mattapan, MA 02126-2729

National Provider Directory

National Provider Directory
Tax ID family
Boston Medical Center Corporation Dba Cornerstone Health Solutions52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

255 River St
Mattapan, MA 02126
Phone (617) 414-0502

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1669714457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262729",
            "telephone_number": "617-534-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CENTER/SPARK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "GEMIMA",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH TRAINING",
        "authorized_official_telephone_number": "617-534-2050"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.