NPIMap

Organization Active NPI

Lemuel Shattuck Hospital

  • Case Management Agency
  • Jamaica Plain, MA
National Provider Identifier
1700152006
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1453AD Issued in MA
Legal business name
LEMUEL SHATTUCK HOSPITAL
Practice address
170 Morton St.
Jamaica Plain, MA 02130
Phone
(617) 971-3781
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mr. Hugh David McCray, LADC-II, CADC
Title
Addictions Clinicain
Phone
(617) 971-3781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1453AD MA Primary

Addresses

Primary practice location

170 Morton St.
Jamaica Plain, MA 02130

Mailing address

57 Stratton St
Dorchester, MA 02124-2916
Phone (617) 288-6139

Other names 1

  • hope/found Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1700152006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 STRATTON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242916",
            "telephone_number": "617-288-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST.",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-971-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMUEL SHATTUCK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADDICTIONS CLINICAIN",
        "authorized_official_telephone_number": "617-971-3781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC-II, CADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "1453AD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hope/found",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.