NPIMap

Organization Active NPI

Justice Resource Institute, Inc

Doing business as River Street

  • Case Management Agency
  • Mattapan, MA
National Provider Identifier
1730223496
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JUSTICE RESOURCE INSTITUTE, INC
Doing business as
River Street
Practice address
11 Mary Moore Beatty Cir
#1B
Mattapan, MA 02126-2741
Phone
(617) 296-9696
NPI assigned
Feb 16, 2007
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Andy Pond, LICSW
Title
President
Phone
(781) 559-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

11 Mary Moore Beatty Cir
#1B
Mattapan, MA 02126-2741

Mailing address

160 Gould St
Suite 300
Needham, MA 02494-2313
Phone (781) 559-4900

Other identifiers 1

IdentifierTypeStateIssuer
1894102MedicaidMA

Other names 1

  • River Street Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Justice Resource Institute23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

11 Mary Moore Beatty Cir
Apt 1B
Mattapan, MA 02126
Phone (617) 296-9696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1730223496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GOULD ST",
            "address_2": "SUITE 300",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942313",
            "telephone_number": "781-559-4900",
            "fax_number": "781-559-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARY MOORE BEATTY CIR",
            "address_2": "#1B",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262741",
            "telephone_number": "617-296-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE RESOURCE INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-559-4900",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1894102",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.