NPIMap

Organization Active NPI

MGH Family Care Program

  • Case Management Agency
  • Boston, MA
National Provider Identifier
1720112592
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MGH FAMILY CARE PROGRAM
Practice address
32 Fruit St
Wacc Lobby 037
Boston, MA 02114-2620
Phone
(617) 724-0759
Fax
(617) 726-7676
NPI assigned
Mar 15, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Ann Daniels, PH.D.
Title
Exec. Director of Social Service
Phone
(617) 726-2657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

32 Fruit St
Wacc Lobby 037
Boston, MA 02114-2620

Mailing address

32 Fruit St
Wacc Lobby 037
Boston, MA 02114-2620
Phone (617) 724-0759

Other identifiers 1

IdentifierTypeStateIssuer
1904191MedicaidMA

Other names 1

  • THE GENERAL HOSPITAL CORPORATION Other name

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry Consult Serv13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

32 Fruit St
Lbby 37
Boston, MA 02114
Phone (617) 724-0759

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1720112592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FRUIT ST",
            "address_2": "WACC LOBBY 037",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142620",
            "telephone_number": "617-724-0759",
            "fax_number": "617-726-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 FRUIT ST",
            "address_2": "WACC LOBBY 037",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142620",
            "telephone_number": "617-724-0759",
            "fax_number": "617-726-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGH FAMILY CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXEC. DIRECTOR OF SOCIAL SERVICE",
        "authorized_official_telephone_number": "617-726-2657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904191",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GENERAL HOSPITAL CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.