NPIMap

Organization Active NPI

Brigham and Womens Hospital

  • Community Health Clinic/Center
  • Jamaica Plain, MA
National Provider Identifier
1720172695
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
8610 Issued in MA
Legal business name
BRIGHAM AND WOMENS HOSPITAL
Practice address
640 Centre St
Jamaica Plain, MA 02130-2555
Phone
(617) 983-4233
Fax
(617) 983-4246
NPI assigned
Oct 3, 2006
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
Andrea Soler, LICSW
Title
Director of Mental Health Services
Phone
(617) 983-4227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 8610 MA Primary

Addresses

Primary practice location

640 Centre St
Jamaica Plain, MA 02130-2555

Mailing address

42 Rustic St
Newton, MA 02458-1024
Phone (617) 983-4233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720172695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RUSTIC ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581024",
            "telephone_number": "617-983-4233",
            "fax_number": "617-983-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302555",
            "telephone_number": "617-983-4233",
            "fax_number": "617-983-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM AND WOMENS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH SERVICES",
        "authorized_official_telephone_number": "617-983-4227",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "8610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.