Men'S Stabilization

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

101YA0400X Issued in MA

Legal business name

MEN'S STABILIZATION

Practice address

170 Morton St
Men'S Stabilizaton
Jamaica Plain, MA 02130-3735

Phone

(617) 983-0351

Fax

(617) 522-0217

NPI assigned

Oct 6, 2011

Organization subpart

Yes

Parent organization

HOPEFOUNDAs reported in NPPES

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

Authorized official

Name

Mr. Jose Manuel Rivera, MA, EDM

Title

Substance Abuse Clinician

Phone

(617) 983-0351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1689958761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "address_2": "MEN'S STABILIZATION",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-983-0351",
            "fax_number": "617-522-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "address_2": "MEN'S STABILIZATON",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-983-0351",
            "fax_number": "617-522-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S STABILIZATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEFOUND",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE CLINICIAN",
        "authorized_official_telephone_number": "617-983-0351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, EDM"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Mehan
• Nisha Mehta, MSW
• Melissa Rocklen Licsw, LLC
• Daniel F Melville, MD
• Gessika Memnnon
• Noemi Mercado
• Thomas Joseph Mercurio, D.C.
• Olivia Merrill
• Nicholas Scott Merry
• Tatyana Mesh, NP

• Community Health Clinic/Center in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Community Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.