NPIMap

Organization Active NPI

North Suffolk CCS, Cambridge/Somerville

  • Community/Behavioral Health Agency
  • Somerville, MA
National Provider Identifier
1679704662
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH SUFFOLK CCS, CAMBRIDGE/SOMERVILLE
Practice address
230 Highland Ave
NS CCS
Somerville, MA 02143-1408
Phone
(617) 591-4500
Fax
(617) 414-1975
NPI assigned
Aug 7, 2009
Organization subpart
Yes
Parent organization
BOSTON UNIVERISTY PSYCHIATRY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Leslie A Fishman
Title
Administrative Director
Phone
(617) 638-4920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

230 Highland Ave
NS CCS
Somerville, MA 02143-1408

Mailing address

85 E Newton St
M802
Boston, MA 02118-2340
Phone (617) 591-4500

Other names 1

  • NS CCS, Cambridge/Somerville Other name

National Provider Directory

National Provider Directory
Tax ID family
Boston Medical Center6 organizations share this tax ID, including this one
Part of
Boston Medical Center

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1679704662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E NEWTON ST",
            "address_2": "M802",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182340",
            "telephone_number": "617-591-4500",
            "fax_number": "617-414-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HIGHLAND AVE",
            "address_2": "NS CCS",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431408",
            "telephone_number": "617-591-4500",
            "fax_number": "617-414-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUFFOLK CCS, CAMBRIDGE/SOMERVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOSTON UNIVERISTY PSYCHIATRY ASSOCIATES",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "617-638-4920"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NS CCS, Cambridge/Somerville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.