NPIMap

Organization Active NPI

Gavin Foundation, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Quincy, MA
National Provider Identifier
1750895413
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GAVIN FOUNDATION, INC.
Practice address
43 Old Colony Ave
Quincy, MA 02170-2606
Phone
(857) 496-7341
NPI assigned
Nov 16, 2017
Organization subpart
Yes
Parent organization
GAVIN FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
John McGahanNPI 1225542582
Title
President/Ceo
Phone
(857) 496-7341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

43 Old Colony Ave
Quincy, MA 02170-2606

Mailing address

675 E 4TH St
Boston, MA 02127-3063

Other names 1

  • Gavin Quincy Other name

National Provider Directory

National Provider Directory
Part of
Gavin Foundation Inc

Locations

675 E 4th St
South Boston, MA 02127
Phone (617) 268-5000

43 Old Colony Ave
Wollaston, MA 02170
Phone (617) 934-1136

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1750895413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 E 4TH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 OLD COLONY AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702606",
            "telephone_number": "857-496-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAVIN FOUNDATION, INC.",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "MCGAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "857-496-7341"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gavin Quincy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.