Pine Street Inn

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0817 Issued in MA

Legal business name

PINE STREET INN

Practice address

444 Harrison Ave
Boston, MA 02118-2404

Phone

(617) 892-9451

Fax

(617) 521-7621

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lyndia Downie

Title

President and Ceo

Phone

(617) 892-9108

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pine Street Inn4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Pine Street Inn

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Boston, MA
  • NPI 1649658741
  NPD tax ID
• Pine Street Inn, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Dorchester Center, MA
  • NPI 1639337280
  NPD tax ID
• Pinestreet Inn

  • Addiction (Substance Use Disorder) Counselor
  • Jamaica Plain, MA
  • NPI 1184981284
  NPD tax ID

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1679608384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182404",
            "telephone_number": "617-892-9451",
            "fax_number": "617-521-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE STREET INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "DOWNIE",
        "authorized_official_first_name": "LYNDIA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-892-9108",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "0817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300130",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanie Pinard, M.D.
• Riccardo Pinciroli, MD
• Jonathan M Pincus, MD
• Lauren M Pincus, M.D.
• Pine Street Inn
• Meredith Pineau
• Jessica Pineault, RN
• Marieliz Pineda Gonzlaez
• Allan Enrique Pineda, MD
• Carol Pineda, MD

• Community/Behavioral Health Agency in Boston, MA
• Providers in Boston, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.