NPIMap

Organization Active NPI

Springwell, Inc

  • Case Management Agency
  • Watertown, MA
National Provider Identifier
1720123888
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SPRINGWELL, INC
Practice address
125 Walnut St
Watertown, MA 02472-4052
Phone
(617) 926-4100
Fax
(617) 926-9897
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kara A Donellon
Title
Director of Finance
Phone
(617) 926-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

125 Walnut St
Watertown, MA 02472-4052

Mailing address

125 Walnut St
Watertown, MA 02472-4052
Phone (617) 926-4100

Other identifiers 1

IdentifierTypeStateIssuer
1901869MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Springwell5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720123888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WALNUT ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724052",
            "telephone_number": "617-926-4100",
            "fax_number": "617-926-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WALNUT ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724052",
            "telephone_number": "617-926-4100",
            "fax_number": "617-926-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWELL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONELLON",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "617-926-4100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901869",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.