Specialized Housing, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1902652 Issued in MA

Legal business name

SPECIALIZED HOUSING, INC

Practice address

45 Bartlett Cres
Brookline, MA 02446-2220

Phone

(617) 277-1805

Fax

(617) 277-0106

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David WizanskyNPI 1386151124

Title

President

Phone

(617) 277-1805

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Harvey Wizansky, LICSW

  • Clinical Social Worker
  • Brookline, MA
  • NPI 1386151124
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740309863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BARTLETT CRES",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462220",
            "telephone_number": "617-277-1805",
            "fax_number": "617-277-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BARTLETT CRES",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462220",
            "telephone_number": "617-277-1805",
            "fax_number": "617-277-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED HOUSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIZANSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-277-1805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MA",
            "license": "1902652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902652",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ekkasak Sornkul
• Taverly Jude Sousa, LICSW
• Kenneth R. Spaeth
• Alessandra Marie Spaulding, M.S., CCC-SLP
• Speaking, Inc.
• Erin Lee Spencer, LICSW
• David Anderson Spinner
• Kaitlin Riley Spitz, MA, LMHC
• Sports Medicine Associates P.C.
• Springfield International Health Center

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brookline, MA
• Providers in Brookline, MA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Massachusetts

• 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.